| Lakeside North Family Medicine, Llc | |
|
38 Rowe Dr Guntersville AL 35976-7367 | |
| (256) 571-8460 | |
| (256) 571-8464 |
| Full Name | Lakeside North Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 38 Rowe Dr, Guntersville, Alabama |
| Authorized Official Name and Position | David Campbell (PRESIDENT) |
| Authorized Official Contact | 2565718460 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside North Family Medicine, Llc 38 Rowe Dr Guntersville AL 35976-7367 Ph: (256) 571-8460 | Lakeside North Family Medicine, Llc 38 Rowe Dr Guntersville AL 35976-7367 Ph: (256) 571-8460 |
| NPI Number | 1245809896 |
|---|---|
| Provider Enumeration Date | 06/18/2021 |
| Last Update Date | 06/18/2021 |
| Medicare PECOS PAC ID | 5395148530 |
|---|---|
| Medicare Enrollment ID | O20210726000838 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245809896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | David C Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811100985 PECOS PAC ID: 0446340459 Enrollment ID: I20071214000065 |
| Provider Name | Cheryl Hubbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366915498 PECOS PAC ID: 2961738935 Enrollment ID: I20190729002869 |
| Provider Name | Rachel Carole George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255942371 PECOS PAC ID: 3274953419 Enrollment ID: I20201009000108 |
| Provider Name | Whitney Beth Gore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669084091 PECOS PAC ID: 8426478058 Enrollment ID: I20201020000762 |
| Provider Name | Hollie L Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013506203 PECOS PAC ID: 2365846946 Enrollment ID: I20210804000148 |
| Provider Name | Haley Virginia Gates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912403247 PECOS PAC ID: 0446655153 Enrollment ID: I20210818002718 |
Marshall Medical Center North Jones Pediatric Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 Medical Park Dr, B, Guntersville, AL 35976 Phone: 256-571-8969 Fax: 256-571-8980 | |
Lakeside North Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 38 Rowe Dr, Guntersville, AL 35976 Phone: 256-571-8460 Fax: 256-571-8464 | |
Marshall Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7938 Alabama Hwy 69, Ste 350, Guntersville, AL 35976 Phone: 256-571-8500 Fax: 256-571-8502 | |
Marshall Medical Center North Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7938 Al Highway 69, Suite 360, Guntersville, AL 35976 Phone: 256-571-8580 Fax: 256-571-8585 | |
Grant Family Practice Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1241 Blount Ave, Guntersville, AL 35976 Phone: 256-582-6377 Fax: 256-582-6376 | |
Lakeside North, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7938 Al Highway 69, Suite 130, Guntersville, AL 35976 Phone: 256-571-8460 Fax: 256-571-8464 |