Beauregard Family Medicine | |
7667 Al Highway 51 Ste B Opelika AL 36804-2200 | |
(334) 707-7174 | |
Not Available |
Full Name | Beauregard Family Medicine |
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Speciality | Clinic/Center |
Location | 7667 Al Highway 51 Ste B, Opelika, Alabama |
Authorized Official Name and Position | Katherine Gamper (FAMILY NURSE PRACTITIONER) |
Authorized Official Contact | 3347077174 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Beauregard Family Medicine 7667 Al Highway 51 Ste B Opelika AL 36804-2200 Ph: (334) 707-7174 | Beauregard Family Medicine 7667 Al Highway 51 Ste B Opelika AL 36804-2200 Ph: (334) 707-7174 |
NPI Number | 1194408922 |
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Provider Enumeration Date | 08/09/2023 |
Last Update Date | 11/07/2023 |
Medicare PECOS PAC ID | 0244680296 |
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Medicare Enrollment ID | O20240103001661 |
Identifier | Type | State | Issuer |
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1194408922 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Katherine Allen Gamper |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124417159 PECOS PAC ID: 5890006787 Enrollment ID: I20150618001928 |
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