Henry M Born Md Pc | |
3871 Old Us Highway 278 E Hokes Bluff AL 35903-7507 | |
(256) 492-0544 | |
(256) 492-0558 |
Full Name | Henry M Born Md Pc |
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Speciality | Family Medicine |
Location | 3871 Old Us Highway 278 E, Hokes Bluff, Alabama |
Authorized Official Name and Position | Henry M Born (PRESIDENT) |
Authorized Official Contact | 2564920544 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Henry M Born Md Pc 3871 Old Us Highway 278 E Hokes Bluff AL 35903-7507 Ph: (256) 492-0544 | Henry M Born Md Pc 3871 Old Us Highway 278 E Hokes Bluff AL 35903-7507 Ph: (256) 492-0544 |
NPI Number | 1932418860 |
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Provider Enumeration Date | 09/27/2010 |
Last Update Date | 09/27/2010 |
Medicare PECOS PAC ID | 5496871402 |
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Medicare Enrollment ID | O20100928000477 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932418860 | NPI | - | NPPES |
009953560 | Medicaid | AL | |
51503789 | Other | AL | BLUE CROSS AND BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207QA0401X | Family Medicine - Addiction Medicine | (* (Not Available)) | Secondary |
Provider Name | Henry Michael Born |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831287127 PECOS PAC ID: 6305962317 Enrollment ID: I20100928000549 |