Fm Clinic Llc | |
107 Governors Drive Se Huntsville AL 35801-3580 | |
(256) 428-2615 | |
Not Available |
Full Name | Fm Clinic Llc |
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Speciality | Family Medicine |
Location | 107 Governors Drive Se, Huntsville, Alabama |
Authorized Official Name and Position | Muhammad Aly (MD/OWNER) |
Authorized Official Contact | 2567810541 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fm Clinic Llc Po Box 6489 Huntsville AL 35813-0489 Ph: (256) 781-0541 | Fm Clinic Llc 107 Governors Drive Se Huntsville AL 35801-3580 Ph: (256) 428-2615 |
NPI Number | 1902402886 |
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Provider Enumeration Date | 12/07/2020 |
Last Update Date | 12/07/2020 |
Medicare PECOS PAC ID | 8729490966 |
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Medicare Enrollment ID | O20201214000536 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902402886 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Muhammad Aly |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093118796 PECOS PAC ID: 6305131913 Enrollment ID: I20160822001709 |
Provider Name | Tracy S Yandric |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154820736 PECOS PAC ID: 3870827017 Enrollment ID: I20190621002707 |
Provider Name | Katherine Woolf Guimarin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316696628 PECOS PAC ID: 6305201732 Enrollment ID: I20230508001524 |
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