| Holtville Family Practice | |
|
8502 Holtville Rd Wetumpka AL 36092-7664 | |
| (334) 399-9176 | |
| Not Available |
| Full Name | Holtville Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 8502 Holtville Rd, Wetumpka, Alabama |
| Authorized Official Name and Position | Carey Williams (OWNER/CRNP) |
| Authorized Official Contact | 3343999176 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holtville Family Practice 8502 Holtville Rd Wetumpka AL 36092-7664 Ph: () - | Holtville Family Practice 8502 Holtville Rd Wetumpka AL 36092-7664 Ph: (334) 399-9176 |
| NPI Number | 1497260889 |
|---|---|
| Provider Enumeration Date | 12/06/2017 |
| Last Update Date | 09/19/2022 |
| Medicare PECOS PAC ID | 5890059240 |
|---|---|
| Medicare Enrollment ID | O20180510001816 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497260889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Steven L Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508814922 PECOS PAC ID: 4183602758 Enrollment ID: I20041206000210 |
| Provider Name | Jennifer H Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063644623 PECOS PAC ID: 1850431420 Enrollment ID: I20091214000260 |
| Provider Name | Carey L Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225227093 PECOS PAC ID: 4981841244 Enrollment ID: I20130506000507 |
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