| East Montgomery Family Practice | |
|
6994 Winton Blount Blvd Montgomery AL 36117-3556 | |
| (334) 271-5700 | |
| (334) 271-5803 |
| Full Name | East Montgomery Family Practice |
|---|---|
| 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 |
|---|---|
| East Montgomery Family Practice 6994 Winton Blount Blvd Montgomery AL 36117-3556 Ph: (334) 271-5700 | East Montgomery Family Practice 6994 Winton Blount Blvd Montgomery AL 36117-3556 Ph: (334) 271-5700 |
| NPI Number | 1326246448 |
|---|---|
| Provider Enumeration Date | 07/10/2007 |
| Last Update Date | 07/12/2007 |
| Medicare PECOS PAC ID | 7911927397 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144288606 PECOS PAC ID: 5092907857 Enrollment ID: I20101012000506 |
| Provider Name | Jean M. Crepault |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801854369 PECOS PAC ID: 1456544030 Enrollment ID: I20101015000728 |
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Stewart H. Tankersley, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 Pine St, Suite 203, Montgomery, AL 36106 Phone: 334-240-2334 | |
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