Lifestyle Management Of Birmingham, Inc | |
10 Old Montgomery Hwy Suite 100 Birmingham AL 35209-6737 | |
(205) 949-1900 | |
(205) 949-1919 |
Full Name | Lifestyle Management Of Birmingham, Inc |
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Speciality | Internal Medicine |
Location | 10 Old Montgomery Hwy, Birmingham, Alabama |
Authorized Official Name and Position | Brittany D Limbaugh (PRACTICE MANAGER) |
Authorized Official Contact | 2059491912 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lifestyle Management Of Birmingham, Inc 10 Old Montgomery Hwy Suite 100 Birmingham AL 35209-6737 Ph: (205) 949-1900 | Lifestyle Management Of Birmingham, Inc 10 Old Montgomery Hwy Suite 100 Birmingham AL 35209-6737 Ph: (205) 949-1900 |
NPI Number | 1003004284 |
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Provider Enumeration Date | 10/12/2007 |
Last Update Date | 05/29/2014 |
Medicare PECOS PAC ID | 3274702170 |
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Medicare Enrollment ID | O20110810000555 |
Identifier | Type | State | Issuer |
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1003004284 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 8362 (Alabama) | Primary |
Provider Name | Barry K Mclean |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588634679 PECOS PAC ID: 5193626281 Enrollment ID: I20040120001085 |
Provider Name | Aftab A Khan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811922099 PECOS PAC ID: 3173564465 Enrollment ID: I20050517000730 |
Provider Name | Jose R Vargas |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1003971441 PECOS PAC ID: 3577630532 Enrollment ID: I20080917000691 |
Provider Name | John Watkins |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528081353 PECOS PAC ID: 0840328498 Enrollment ID: I20100503000453 |
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