Gulf Shores Family Medicine | |
204 W 19th Ave Gulf Shores AL 36542 | |
(251) 968-1810 | |
(251) 968-1817 |
Full Name | Gulf Shores Family Medicine |
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Speciality | Family Medicine |
Location | 204 W 19th Ave, Gulf Shores, Alabama |
Authorized Official Name and Position | Marirose C. Olson (PRESIDENT) |
Authorized Official Contact | 2519681810 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gulf Shores Family Medicine P.o. Box 1157 Gulf Shores AL 36547 Ph: (251) 968-1810 | Gulf Shores Family Medicine 204 W 19th Ave Gulf Shores AL 36542 Ph: (251) 968-1810 |
NPI Number | 1205983731 |
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Provider Enumeration Date | 01/05/2007 |
Last Update Date | 04/02/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205983731 | NPI | - | NPPES |
9940808 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207Q00000X | Family Medicine | 23373 (Alabama) | Primary |
Gulf Shores Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Office Park Drive, Gulf Shores, AL 36542 Phone: 251-968-7379 Fax: 251-968-5960 | |
General Practice, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3849 Gulf Shores Pkwy, Sunset Plaza Suite 9, Gulf Shores, AL 36542 Phone: 251-968-2441 Fax: 251-968-5555 |