Immediate Care Center Of The South, Llc | |
4270 Cottage Hill Rd Mobile AL 36609-4286 | |
(251) 602-6996 | |
(251) 666-8398 |
Full Name | Immediate Care Center Of The South, Llc |
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Speciality | Family Medicine |
Location | 4270 Cottage Hill Rd, Mobile, Alabama |
Authorized Official Name and Position | Larry Lockhart (OWNER) |
Authorized Official Contact | 2514632553 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Immediate Care Center Of The South, Llc Po Box 91687 Mobile AL 36691-1687 Ph: (251) 602-6996 | Immediate Care Center Of The South, Llc 4270 Cottage Hill Rd Mobile AL 36609-4286 Ph: (251) 602-6996 |
NPI Number | 1326294414 |
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Provider Enumeration Date | 08/08/2008 |
Last Update Date | 08/08/2008 |
Medicare PECOS PAC ID | 8628133683 |
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Medicare Enrollment ID | O20090209000294 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326294414 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Gamil S Dawood |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1730118530 PECOS PAC ID: 0941297683 Enrollment ID: I20040426001888 |
Provider Name | Marty D Mcdonald |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831122795 PECOS PAC ID: 1052352598 Enrollment ID: I20050516000415 |
Provider Name | Brian P Sweet |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780608042 PECOS PAC ID: 8224061304 Enrollment ID: I20050919000369 |
Provider Name | Robert D Lightfoot |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1932289402 PECOS PAC ID: 3476560624 Enrollment ID: I20060313000376 |
Provider Name | Thomasina H Anderson-sharpe |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023085669 PECOS PAC ID: 4284638172 Enrollment ID: I20060907000339 |
Provider Name | Eduardo G Calderon |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1952379109 PECOS PAC ID: 1052212198 Enrollment ID: I20061128000377 |
Provider Name | Sheila Dillard |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497808000 PECOS PAC ID: 1153418900 Enrollment ID: I20071026000265 |
Provider Name | Timothy R Toms |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1831174390 PECOS PAC ID: 1557459849 Enrollment ID: I20071120000615 |
Provider Name | Vaughn H Mancha |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184738668 PECOS PAC ID: 6406033885 Enrollment ID: I20110613000256 |
Provider Name | Stacey L Mcdonald |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053667840 PECOS PAC ID: 7214186717 Enrollment ID: I20120926000798 |
Provider Name | Paul A Watkins |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1518279520 PECOS PAC ID: 1557504065 Enrollment ID: I20130903000420 |
Provider Name | Donna M Beck |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861785693 PECOS PAC ID: 4082840509 Enrollment ID: I20140220000200 |
Provider Name | Erin M Risco |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295172989 PECOS PAC ID: 1850521469 Enrollment ID: I20140227000574 |
Provider Name | Stephen M Cordi |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1457765570 PECOS PAC ID: 1850511692 Enrollment ID: I20140930001204 |
Provider Name | Hoyt H Reynolds |
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Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1215276191 PECOS PAC ID: 6709178957 Enrollment ID: I20160707001902 |
Provider Name | Jennifer Kathleen Griffin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609002500 PECOS PAC ID: 4385808476 Enrollment ID: I20170724003941 |
Provider Name | Sean A O'mara |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881084507 PECOS PAC ID: 6608287859 Enrollment ID: I20201119002548 |
Provider Name | Benjamin E Mcdonald |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316408263 PECOS PAC ID: 4789097924 Enrollment ID: I20210108000274 |
Provider Name | Mary A Ludvigsen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194740514 PECOS PAC ID: 9436109402 Enrollment ID: I20210323001260 |
Provider Name | Tammy Helton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760044044 PECOS PAC ID: 7416109509 Enrollment ID: I20220608001851 |
Provider Name | William A Woolery |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013956572 PECOS PAC ID: 5395717938 Enrollment ID: I20240304003210 |
Sunbelt Patient Solutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5901 Airport Blvd Ste 203, Mobile, AL 36608 Phone: 504-648-7924 | |
Usa Department Of Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1504 Springhill Avenue, Suite 1600, Mobile, AL 36604 Phone: 251-434-3915 Fax: 251-434-3802 | |
Mobile County Board Of Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 251 N Bayou St, Mobile, AL 36603 Phone: 251-690-8158 Fax: 251-690-8852 | |
Dr Albert Thomas Family Medical Ctr Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1904 Bishop Ave, Mobile, AL 36610 Phone: 251-452-1010 Fax: 251-436-7765 | |
Usa Mitchell Cancer Institute Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1660 Springhill Ave, Mobile, AL 36604 Phone: 251-665-8000 Fax: 251-665-8010 | |
Springhill Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Springhill Ave, Mobile, AL 36604 Phone: 251-694-1801 Fax: 251-694-1890 | |
Bay Area Community Medicine, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3737 Government Blvd, Suite408, Mobile, AL 36693 Phone: 251-602-1911 |