| Marble City Family Care And Obstetrics, Pc | |
|
11 N Norton Ave Sylacauga AL 35150-2451 | |
| (256) 245-6700 | |
| (256) 245-6002 |
| Full Name | Marble City Family Care And Obstetrics, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 11 N Norton Ave, Sylacauga, Alabama |
| Authorized Official Name and Position | Gaylynn Kelso (OFFICE MANAGER) |
| Authorized Official Contact | 2562456700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marble City Family Care And Obstetrics, Pc 11 N Norton Ave Sylacauga AL 35150-2451 Ph: (256) 245-6700 | Marble City Family Care And Obstetrics, Pc 11 N Norton Ave Sylacauga AL 35150-2451 Ph: (256) 245-6700 |
| NPI Number | 1194025346 |
|---|---|
| Provider Enumeration Date | 10/21/2010 |
| Last Update Date | 10/13/2022 |
| Medicare PECOS PAC ID | 2567650591 |
|---|---|
| Medicare Enrollment ID | O20101217000249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194025346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
| Provider Name | Clifton E. Garris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629092515 PECOS PAC ID: 1759306848 Enrollment ID: I20101217000419 |
| Provider Name | Katherine A Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356582100 PECOS PAC ID: 6608020128 Enrollment ID: I20130211000347 |
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