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1801 Pine Street Suite 103 Montgomery AL 36106-1160 | |
(334) 293-8888 | |
(334) 293-8154 |
Full Name | |
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Speciality | Family Medicine |
Location | 1801 Pine Street, Montgomery, Alabama |
Authorized Official Name and Position | Kelin Penney (ADMINISTRATOR) |
Authorized Official Contact | 3342402335 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1722 Pine St Suite 503 Montgomery AL 36106-1103 Ph: (334) 240-2337 | 1801 Pine Street Suite 103 Montgomery AL 36106-1160 Ph: (334) 293-8888 |
NPI Number | 1023317666 |
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Provider Enumeration Date | 03/22/2011 |
Last Update Date | 11/13/2015 |
Identifier | Type | State | Issuer |
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1023317666 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Your Doctor's Office, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8630 Vaughn Rd, Montgomery, AL 36117 Phone: 334-676-4076 Fax: 334-676-4064 | |
Aikam Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2895 Zelda Rd, Montgomery, AL 36106 Phone: 334-245-5969 | |