Gateway Health Center, Llc | |
2165 Highway 78 103 Dora AL 35062 | |
(205) 648-4567 | |
Not Available |
Full Name | Gateway Health Center, Llc |
---|---|
Speciality | Family Medicine |
Location | 2165 Highway 78, Dora, Alabama |
Authorized Official Name and Position | John Pegues (OWNER) |
Authorized Official Contact | 2056484567 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gateway Health Center, Llc 2165 Highway 78 103 Dora AL 35062 Ph: (205) 648-4567 | Gateway Health Center, Llc 2165 Highway 78 103 Dora AL 35062 Ph: (205) 648-4567 |
NPI Number | 1699085589 |
---|---|
Provider Enumeration Date | 10/14/2010 |
Last Update Date | 10/14/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699085589 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Premier Health Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2165 Hwy 78, Suite 100, Dora, AL 35062 Phone: 205-648-4567 Fax: 205-648-4551 |