| Internal Medicine Affiliates | |
|
516 Tuscaloosa Ave Sw Birmingham AL 35211-1631 | |
| (205) 786-1025 | |
| (205) 780-0670 |
| Full Name | Internal Medicine Affiliates |
|---|---|
| Speciality | Internal Medicine |
| Location | 516 Tuscaloosa Ave Sw, Birmingham, Alabama |
| Authorized Official Name and Position | Sandra Mathews Ford (OWNER) |
| Authorized Official Contact | 2057861025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Affiliates 516 Tuscaloosa Ave Sw Birmingham AL 35211-1631 Ph: (205) 786-1025 | Internal Medicine Affiliates 516 Tuscaloosa Ave Sw Birmingham AL 35211-1631 Ph: (205) 786-1025 |
| NPI Number | 1487824058 |
|---|---|
| Provider Enumeration Date | 03/10/2008 |
| Last Update Date | 03/10/2008 |
| Medicare PECOS PAC ID | 6002897881 |
|---|---|
| Medicare Enrollment ID | O20040527000295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487824058 | NPI | - | NPPES |
| 529920170 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sandra A Ford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447318357 PECOS PAC ID: 8628059409 Enrollment ID: I20040601000552 |
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