Jemison Internal Medicine Pc | |
24548 Us Hwy 31 Jemison AL 35085 | |
(205) 688-4050 | |
(205) 688-3207 |
Full Name | Jemison Internal Medicine Pc |
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Speciality | Internal Medicine |
Location | 24548 Us Hwy 31, Jemison, Alabama |
Authorized Official Name and Position | Jay Prakash D Patel (PRESIDENT) |
Authorized Official Contact | 2056884050 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jemison Internal Medicine Pc Po Box 669 24548 Us Hwy 31 Jemison AL 35085 Ph: (205) 688-4050 | Jemison Internal Medicine Pc 24548 Us Hwy 31 Jemison AL 35085 Ph: (205) 688-4050 |
NPI Number | 1164569570 |
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Provider Enumeration Date | 02/01/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 1850317405 |
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Medicare Enrollment ID | O20051021000900 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164569570 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 17742 (Alabama) | Primary |
Provider Name | Jayprakash D Patel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083699334 PECOS PAC ID: 4082886007 Enrollment ID: I20111017000087 |
Residential Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 County Road 52, Jemison, AL 35085 Phone: 205-210-8191 Fax: 205-891-8189 | |
Bhc - Jemison Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25420 Us Highway 31, Jemison, AL 35085 Phone: 205-668-1616 Fax: 205-668-1038 |