Complete Family Health Care, P.c. | |
5577 Chalkville Rd Birmingham AL 35235-2171 | |
(205) 853-3533 | |
(205) 856-3808 |
Full Name | Complete Family Health Care, P.c. |
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Speciality | Family Medicine |
Location | 5577 Chalkville Rd, Birmingham, Alabama |
Authorized Official Name and Position | John Joseph Davis (CHAIRMAN, BOARD OF DIRECTORS) |
Authorized Official Contact | 2058533533 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Complete Family Health Care, P.c. 5577 Chalkville Rd Birmingham AL 35235-2171 Ph: (205) 853-3533 | Complete Family Health Care, P.c. 5577 Chalkville Rd Birmingham AL 35235-2171 Ph: (205) 853-3533 |
NPI Number | 1801986807 |
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Provider Enumeration Date | 10/13/2006 |
Last Update Date | 10/27/2020 |
Medicare PECOS PAC ID | 0840457222 |
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Medicare Enrollment ID | O20120214000273 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801986807 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 00012531 (Alabama) | Primary |
Provider Name | John Joseph Davis |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053406173 PECOS PAC ID: 8628262649 Enrollment ID: I20101103000396 |
Provider Name | Stacy Ann Davis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942608450 PECOS PAC ID: 5698094555 Enrollment ID: I20150507000953 |
Provider Name | Christina Cooper Anderson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346709813 PECOS PAC ID: 3072902543 Enrollment ID: I20211123001098 |
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