Etowah Family Medical Pc | |
303 Bay St Ste 301 Gadsden AL 35901-5265 | |
(256) 546-4868 | |
(256) 546-4967 |
Full Name | Etowah Family Medical Pc |
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Speciality | Family Medicine |
Location | 303 Bay St, Gadsden, Alabama |
Authorized Official Name and Position | Courtney Lowe (OWNER) |
Authorized Official Contact | 25655464868 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Etowah Family Medical Pc 303 Bay St Ste 301 Gadsden AL 35901-5265 Ph: (256) 546-4868 | Etowah Family Medical Pc 303 Bay St Ste 301 Gadsden AL 35901-5265 Ph: (256) 546-4868 |
NPI Number | 1679894190 |
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Provider Enumeration Date | 06/18/2010 |
Last Update Date | 06/18/2010 |
Medicare PECOS PAC ID | 3476745100 |
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Medicare Enrollment ID | O20101013000148 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679894190 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | MD28124 (Alabama) | Primary |
Provider Name | Courtney M Lowe |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831210566 PECOS PAC ID: 6800987884 Enrollment ID: I20070806000225 |
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