East Montgomery Christian Family Medicine, Llc | |
129 Mitylene Park Ln Montgomery AL 36117-7302 | |
(334) 279-8180 | |
(334) 279-8214 |
Full Name | East Montgomery Christian Family Medicine, Llc |
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Speciality | General Practice |
Location | 129 Mitylene Park Ln, Montgomery, Alabama |
Authorized Official Name and Position | Ashley D Mcintyre (OWNER) |
Authorized Official Contact | 3342798180 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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East Montgomery Christian Family Medicine, Llc 129 Mitylene Park Ln Montgomery AL 36117-7302 Ph: (334) 279-8180 | East Montgomery Christian Family Medicine, Llc 129 Mitylene Park Ln Montgomery AL 36117-7302 Ph: (334) 279-8180 |
NPI Number | 1174631766 |
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Provider Enumeration Date | 08/25/2006 |
Last Update Date | 02/09/2017 |
Medicare PECOS PAC ID | 7911940101 |
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Medicare Enrollment ID | O20050608000787 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174631766 | NPI | - | NPPES |
009991115 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | 00025985 (Alabama) | Primary |
Provider Name | Ashley D Mcintyre |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699747709 PECOS PAC ID: 9931153418 Enrollment ID: I20050308000671 |
Provider Name | Christopher W Daniel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073168191 PECOS PAC ID: 8325442254 Enrollment ID: I20210813001881 |
Your Doctor's Office, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8630 Vaughn Rd, Montgomery, AL 36117 Phone: 334-676-4076 Fax: 334-676-4064 | |
Aikam Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2895 Zelda Rd, Montgomery, AL 36106 Phone: 334-245-5969 | |