| Medical Associates Of Birmingham, Pc | |
|
3800 Ridgeway Dr Birmingham AL 35209-5506 | |
| (205) 612-1659 | |
| Not Available |
| Full Name | Medical Associates Of Birmingham, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3800 Ridgeway Dr, Birmingham, Alabama |
| Authorized Official Name and Position | John Barry King (PRESIDENT AND SECRETARY) |
| Authorized Official Contact | 2056121659 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Associates Of Birmingham, Pc 250 Lucerne Blvd Birmingham AL 35209-6614 Ph: (205) 612-1659 | Medical Associates Of Birmingham, Pc 3800 Ridgeway Dr Birmingham AL 35209-5506 Ph: (205) 612-1659 |
| NPI Number | 1114338597 |
|---|---|
| Provider Enumeration Date | 05/19/2014 |
| Last Update Date | 05/19/2014 |
| Medicare PECOS PAC ID | 8820016157 |
|---|---|
| Medicare Enrollment ID | O20051104000771 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114338597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD16619 (Alabama) | Primary |
| 207RH0002X | Internal Medicine - Hospice And Palliative Medicine | MD16619 (Alabama) | Secondary |
| Provider Name | John B King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609806132 PECOS PAC ID: 6507869484 Enrollment ID: I20090601000055 |
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