Guntersville Family Practice Clinic | |
1241 Blount Ave Guntersville AL 35976-1831 | |
(256) 582-6377 | |
(256) 582-6376 |
Full Name | Guntersville Family Practice Clinic |
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Speciality | Clinic/Center |
Location | 1241 Blount Ave, Guntersville, Alabama |
Authorized Official Name and Position | Mark C Hannon (OFFICE MANAGER) |
Authorized Official Contact | 2565826377 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Guntersville Family Practice Clinic 1241 Blount Ave Guntersville AL 35976 Ph: (256) 582-6377 | Guntersville Family Practice Clinic 1241 Blount Ave Guntersville AL 35976-1831 Ph: (256) 582-6377 |
NPI Number | 1760499685 |
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Provider Enumeration Date | 08/02/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 6002879913 |
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Medicare Enrollment ID | O20070321000636 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760499685 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Jonathan D Matlock |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013272053 PECOS PAC ID: 3779887526 Enrollment ID: I20160215002354 |
Marshall Medical Center North Jones Pediatric Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 Medical Park Dr, B, Guntersville, AL 35976 Phone: 256-571-8969 Fax: 256-571-8980 | |
Lakeside North Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 38 Rowe Dr, Guntersville, AL 35976 Phone: 256-571-8460 Fax: 256-571-8464 | |
Marshall Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7938 Alabama Hwy 69, Ste 350, Guntersville, AL 35976 Phone: 256-571-8500 Fax: 256-571-8502 | |
Marshall Medical Center North Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7938 Al Highway 69, Suite 360, Guntersville, AL 35976 Phone: 256-571-8580 Fax: 256-571-8585 | |
Lakeside North Family Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 38 Rowe Dr, Guntersville, AL 35976 Phone: 256-571-8460 Fax: 256-571-8464 | |
Grant Family Practice Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1241 Blount Ave, Guntersville, AL 35976 Phone: 256-582-6377 Fax: 256-582-6376 | |
Lakeside North, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7938 Al Highway 69, Suite 130, Guntersville, AL 35976 Phone: 256-571-8460 Fax: 256-571-8464 |