| Jackson Family Medicine Pike Road | |
|
11123 Chantilly Pkwy Ct Ste M Pike Road AL 36064-2880 | |
| (334) 293-8888 | |
| Not Available |
| Full Name | Jackson Family Medicine Pike Road |
|---|---|
| Speciality | Family Medicine |
| Location | 11123 Chantilly Pkwy Ct, Pike Road, 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 |
|---|---|
| Jackson Family Medicine Pike Road 1722 Pine St Ste 503 Montgomery AL 36106-1103 Ph: (334) 293-8888 | Jackson Family Medicine Pike Road 11123 Chantilly Pkwy Ct Ste M Pike Road AL 36064-2880 Ph: (334) 293-8888 |
| NPI Number | 1861827297 |
|---|---|
| Provider Enumeration Date | 09/04/2013 |
| Last Update Date | 05/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861827297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Tahir Siddiq Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 441 Chaseway Dr, Pike Road, AL 36064 Phone: 334-396-0201 | |
Jackson Hospital And Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9521 Vaughn Rd, Pike Road, AL 36064 Phone: 334-293-8736 | |
Golden Pediatric Therapy Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 84 Chapel Hill St, Pike Road, AL 36064 Phone: 334-322-5530 |