| Internal Medicine Associates Of Cullman Pc | |
|
2035 Al Highway 157 Cullman AL 35058-0687 | |
| (256) 775-0432 | |
| Not Available |
| Full Name | Internal Medicine Associates Of Cullman Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2035 Al Highway 157, Cullman, Alabama |
| Authorized Official Name and Position | Joel Johns (OWNER/PHYSICIAN) |
| Authorized Official Contact | 2567750432 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Associates Of Cullman Pc 2035 Al Highway 157 Cullman AL 35058-0687 Ph: () - | Internal Medicine Associates Of Cullman Pc 2035 Al Highway 157 Cullman AL 35058-0687 Ph: (256) 775-0432 |
| NPI Number | 1982079414 |
|---|---|
| Provider Enumeration Date | 12/09/2015 |
| Last Update Date | 12/09/2015 |
| Medicare PECOS PAC ID | 8628372067 |
|---|---|
| Medicare Enrollment ID | O20160205000894 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982079414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Joel T Johns |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043209703 PECOS PAC ID: 8820071178 Enrollment ID: I20041103000535 |
| Provider Name | Randa Duke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124360193 PECOS PAC ID: 1052549532 Enrollment ID: I20140107001059 |
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