Intrepid Internal Medicine Pc | |
40 Medical Cir Moulton AL 35650-1256 | |
(256) 974-0606 | |
(256) 974-4530 |
Full Name | Intrepid Internal Medicine Pc |
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Speciality | Internal Medicine |
Location | 40 Medical Cir, Moulton, Alabama |
Authorized Official Name and Position | Monica Copeland (BILLING MGR) |
Authorized Official Contact | 2565321888 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Intrepid Internal Medicine Pc 40 Medical Cir Moulton AL 35650-1256 Ph: (256) 974-0606 | Intrepid Internal Medicine Pc 40 Medical Cir Moulton AL 35650-1256 Ph: (256) 974-0606 |
NPI Number | 1548581705 |
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Provider Enumeration Date | 06/22/2010 |
Last Update Date | 06/22/2010 |
Identifier | Type | State | Issuer |
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1548581705 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | DO1056 (Alabama) | Primary |
Donald E Beach Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 633 Lawrence St, Moulton, AL 35650 Phone: 256-974-6646 Fax: 256-974-8654 | |