| Internal Medicine & Pediatric Consultants | |
|
1108 Ross Clark Cir Fl 4 Dothan AL 36301-3022 | |
| (342) 763-2143 | |
| Not Available |
| Full Name | Internal Medicine & Pediatric Consultants |
|---|---|
| Speciality | Internal Medicine |
| Location | 1108 Ross Clark Cir Fl 4, Dothan, Alabama |
| Authorized Official Name and Position | Justin G Hovey (OWNER) |
| Authorized Official Contact | 3342763214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine & Pediatric Consultants Po Box 8608 Dothan AL 36304-0608 Ph: (334) 796-9171 | Internal Medicine & Pediatric Consultants 1108 Ross Clark Cir Fl 4 Dothan AL 36301-3022 Ph: (342) 763-2143 |
| NPI Number | 1982351235 |
|---|---|
| Provider Enumeration Date | 03/07/2022 |
| Last Update Date | 06/26/2023 |
| Medicare PECOS PAC ID | 3870980204 |
|---|---|
| Medicare Enrollment ID | O20220503001602 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982351235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Justin Hovey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801970116 PECOS PAC ID: 8022187780 Enrollment ID: I20080521000133 |
| Provider Name | Gregory L Gibson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891015574 PECOS PAC ID: 8325202559 Enrollment ID: I20120619000391 |
| Provider Name | Juanita T Heersink |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659661874 PECOS PAC ID: 5698912293 Enrollment ID: I20151109001514 |
| Provider Name | Carlos Ricardo Sequera Sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770999476 PECOS PAC ID: 6800190224 Enrollment ID: I20171108001063 |
| Provider Name | Christopher L Surratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114096963 PECOS PAC ID: 6305939901 Enrollment ID: I20171108001956 |
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