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6228 County Road 28 Sawyerville AL 36776-2557 | |
(334) 624-2553 | |
(855) 301-8116 |
Full Name | |
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Speciality | Internal Medicine |
Location | 6228 County Road 28, Sawyerville, Alabama |
Authorized Official Name and Position | Marlo Eve Paul (MD/OWNER) |
Authorized Official Contact | 8653689390 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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P.o. Box 9 Gainesville AL 35464 Ph: (334) 624-2553 | 6228 County Road 28 Sawyerville AL 36776-2557 Ph: (334) 624-2553 |
NPI Number | 1639488893 |
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Provider Enumeration Date | 10/05/2010 |
Last Update Date | 02/23/2016 |
Medicare PECOS PAC ID | 5395937957 |
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Medicare Enrollment ID | O20101014000549 |
Identifier | Type | State | Issuer |
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1639488893 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Marlo Eve Paul |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790979946 PECOS PAC ID: 7012093784 Enrollment ID: I20080320000191 |