Ivy Creek Internal Medicine | |
807 Jackson Trace Rd Wetumpka AL 36092-1504 | |
(334) 358-3777 | |
Not Available |
Full Name | Ivy Creek Internal Medicine |
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Speciality | Internal Medicine |
Location | 807 Jackson Trace Rd, Wetumpka, Alabama |
Authorized Official Name and Position | Lynda Gayle Dozier-mccormick (BILLING MANAGER) |
Authorized Official Contact | 3345143848 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ivy Creek Internal Medicine 807 Jackson Trace Rd Wetumpka AL 36092-1504 Ph: () - | Ivy Creek Internal Medicine 807 Jackson Trace Rd Wetumpka AL 36092-1504 Ph: (334) 358-3777 |
NPI Number | 1467975581 |
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Provider Enumeration Date | 07/20/2017 |
Last Update Date | 03/29/2018 |
Identifier | Type | State | Issuer |
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1467975581 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Ronaldo V Dejesus, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 74186 Tallassee Hwy, Wetumpka, AL 36092 Phone: 334-567-0346 Fax: 334-567-0855 | |
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