K Sparacino Pc | |
2828 Highway 31 S Ste 110 Decatur AL 35603-1538 | |
(256) 340-5150 | |
(256) 340-5153 |
Full Name | K Sparacino Pc |
---|---|
Speciality | Family Medicine |
Location | 2828 Highway 31 S Ste 110, Decatur, Alabama |
Authorized Official Name and Position | Kathy Sparacino (MD) |
Authorized Official Contact | 2563405150 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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K Sparacino Pc 2828 Highway 31 S Ste 110 Decatur AL 35603-1538 Ph: (256) 340-5150 | K Sparacino Pc 2828 Highway 31 S Ste 110 Decatur AL 35603-1538 Ph: (256) 340-5150 |
NPI Number | 1699838953 |
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Provider Enumeration Date | 12/18/2006 |
Last Update Date | 01/05/2023 |
Medicare PECOS PAC ID | 2264510320 |
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Medicare Enrollment ID | O20080415000699 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699838953 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 16163 (Alabama) | Primary |
Provider Name | Kathy J Sparacino |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255441705 PECOS PAC ID: 5991883050 Enrollment ID: I20080415000693 |
Provider Name | Anna B Holland |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962740126 PECOS PAC ID: 3870735905 Enrollment ID: I20130820000218 |
Provider Name | Kari L Griffith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164967451 PECOS PAC ID: 5294080297 Enrollment ID: I20180614002842 |
Provider Name | Stephanie Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396306460 PECOS PAC ID: 5890027049 Enrollment ID: I20191022000278 |
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Internal Medicine Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 7th St Se, Decatur, AL 35601 Phone: 256-350-6182 Fax: 256-350-6184 | |
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