| Interface Medical Consulting Llc | |
|
12141 Cri Fairhope AL 36532 | |
| (251) 689-7168 | |
| Not Available |
| Full Name | Interface Medical Consulting Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 12141 Cri, Fairhope, Alabama |
| Authorized Official Name and Position | Stephanie Ingenito (CREDENTIALING SPECIALISTS) |
| Authorized Official Contact | 5703523063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Interface Medical Consulting Llc Po Box 146 Fairhope AL 36533-0146 Ph: (251) 689-7168 | Interface Medical Consulting Llc 12141 Cri Fairhope AL 36532 Ph: (251) 689-7168 |
| NPI Number | 1881182236 |
|---|---|
| Provider Enumeration Date | 05/01/2018 |
| Last Update Date | 05/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881182236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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