Express Care Clinic Of Oneonta, P.c. | |
2040 2nd Avenue East Oneonta AL 35121 | |
(256) 878-1415 | |
Not Available |
Full Name | Express Care Clinic Of Oneonta, P.c. |
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Speciality | Internal Medicine |
Location | 2040 2nd Avenue East, Oneonta, Alabama |
Authorized Official Name and Position | Stephen Leroy Avram (DIRECTOR) |
Authorized Official Contact | 2568781415 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Express Care Clinic Of Oneonta, P.c. 2040 2nd Avenue East Oneonta AL 35121 Ph: (256) 878-1415 | Express Care Clinic Of Oneonta, P.c. 2040 2nd Avenue East Oneonta AL 35121 Ph: (256) 878-1415 |
NPI Number | 1801051354 |
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Provider Enumeration Date | 07/24/2008 |
Last Update Date | 06/20/2024 |
Medicare PECOS PAC ID | 3971670845 |
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Medicare Enrollment ID | O20080917000841 |
Identifier | Type | State | Issuer |
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1801051354 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 13125 (Alabama) | Primary |
Provider Name | Stephen L Avram |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174519623 PECOS PAC ID: 5890684344 Enrollment ID: I20040312000386 |
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