|
| |
|
2811 Dr John Haynes Dr Suite 201 Pell City AL 35125-1447 | |
| (205) 814-2104 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 2811 Dr John Haynes Dr, Pell City, Alabama |
| Authorized Official Name and Position | Brandon Williams (CFO) |
| Authorized Official Contact | 2058383718 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2811 Dr John Haynes Dr Suite 201 Pell City AL 35125-1447 Ph: (205) 814-2104 | 2811 Dr John Haynes Dr Suite 201 Pell City AL 35125-1447 Ph: (205) 814-2104 |
| NPI Number | 1134253941 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 09/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134253941 | NPI | - | NPPES |
| G159 | Other | AL | MCARE PART B BILLING |
| 529700010 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Ricky Tubbs, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 613 Martin St N, Suite 300, Pell City, AL 35125 Phone: 256-368-1509 | |
Main Street Medical Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1508 Cogswell Ave, Pell City, AL 35125 Phone: 205-814-1598 Fax: 205-814-1587 | |
Med Md Plus, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Cropwell Dr, Pell City, AL 35128 Phone: 205-814-0404 Fax: 205-814-0407 | |
St Clair Eye Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 Eminence Way Ste A, Pell City, AL 35128 Phone: 205-206-4518 | |