Full Name | |
---|---|
Speciality | Family Medicine |
Location | 98 E Morris St, Samson, Alabama |
Authorized Official Name and Position | Janet Smith (CFO) |
Authorized Official Contact | 3346843655 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
98 E Morris St Samson AL 36477-1229 Ph: (334) 898-2728 | 98 E Morris St Samson AL 36477 Ph: (334) 898-2728 |
NPI Number | 1457448946 |
---|---|
Provider Enumeration Date | 10/06/2006 |
Last Update Date | 10/24/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457448946 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 065559 (Alabama) | Secondary |
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Ga Diagnostics Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4850 County Road 10, Samson, AL 36477 Phone: 850-537-9389 Fax: 850-537-9398 |