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2820 Al Highway 68 W Sandrock AL 35983-4200 | |
(205) 386-4341 | |
(256) 523-1503 |
Full Name | |
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Speciality | Family Medicine |
Location | 2820 Al Highway 68 W, Sandrock, Alabama |
Authorized Official Name and Position | Enrico D Gaspar (OWNER) |
Authorized Official Contact | 2568408181 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2820 Al Highway 68 W Sandrock AL 35983-4200 Ph: (256) 523-3627 | 2820 Al Highway 68 W Sandrock AL 35983-4200 Ph: (205) 386-4341 |
NPI Number | 1851976054 |
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Provider Enumeration Date | 03/10/2021 |
Last Update Date | 04/09/2022 |
Medicare PECOS PAC ID | 9931508439 |
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Medicare Enrollment ID | O20210603002514 |
Identifier | Type | State | Issuer |
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1851976054 | NPI | - | NPPES |