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6994 Winton Blount Blvd Montgomery AL 36117-3556 | |
(334) 271-5700 | |
(334) 271-5803 |
Full Name | |
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Speciality | Family Medicine |
Location | 6994 Winton Blount Blvd, Montgomery, Alabama |
Authorized Official Name and Position | Keith S Hughes (PHYSICIAN/PRESIDENT) |
Authorized Official Contact | 3342715700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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6994 Winton Blount Blvd Montgomery AL 36117-3556 Ph: (334) 271-5700 | 6994 Winton Blount Blvd Montgomery AL 36117-3556 Ph: (334) 271-5700 |
NPI Number | 1326246448 |
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Provider Enumeration Date | 07/10/2007 |
Last Update Date | 07/12/2007 |
Medicare PECOS PAC ID | 7911927397 |
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Medicare Enrollment ID | O20051130000348 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326246448 | NPI | - | NPPES |
CJ2701 | Other | AL | RAILROAD MEDICARE GRP NUM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 10167 (Alabama) | Primary |
Provider Name | Keith Shawn Hughes |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144288606 PECOS PAC ID: 5092907857 Enrollment ID: I20101012000506 |
Provider Name | Jean M. Crepault |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801854369 PECOS PAC ID: 1456544030 Enrollment ID: I20101015000728 |
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 | |