| Greystone Family Medicine Pc | |
|
6930 Cahaba Valley Rd Ste 102 Birmingham AL 35242-2673 | |
| (205) 783-5207 | |
| (205) 783-5210 |
| Full Name | Greystone Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 6930 Cahaba Valley Rd Ste 102, Birmingham, Alabama |
| Authorized Official Name and Position | Michael C Swanson (OWNER) |
| Authorized Official Contact | 2057835207 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greystone Family Medicine Pc 6930 Cahaba Valley Rd Ste 102 Birmingham AL 35242-2673 Ph: (205) 783-5207 | Greystone Family Medicine Pc 6930 Cahaba Valley Rd Ste 102 Birmingham AL 35242-2673 Ph: (205) 783-5207 |
| NPI Number | 1083080907 |
|---|---|
| Provider Enumeration Date | 08/14/2015 |
| Last Update Date | 02/08/2016 |
| Medicare PECOS PAC ID | 5395053375 |
|---|---|
| Medicare Enrollment ID | O20150925000381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083080907 | NPI | - | NPPES |
| 177403 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael C Swanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053424952 PECOS PAC ID: 6204892441 Enrollment ID: I20041208001091 |
| Provider Name | Elizabeth Currie Stevenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710041777 PECOS PAC ID: 1759410335 Enrollment ID: I20100519000615 |
| Provider Name | Amanda T Shaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619498698 PECOS PAC ID: 4385061704 Enrollment ID: I20200831003366 |
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