Medical Center Plus Llc | |
1685 E University Dr Ste E Auburn AL 36830-5217 | |
(334) 501-8867 | |
Not Available |
Full Name | Medical Center Plus Llc |
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Speciality | General Practice |
Location | 1685 E University Dr Ste E, Auburn, Alabama |
Authorized Official Name and Position | Edward Peacock (OWNER) |
Authorized Official Contact | 3345018867 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medical Center Plus Llc 1685 E University Dr Ste E Auburn AL 36830-5217 Ph: (334) 501-8867 | Medical Center Plus Llc 1685 E University Dr Ste E Auburn AL 36830-5217 Ph: (334) 501-8867 |
NPI Number | 1104459411 |
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Provider Enumeration Date | 02/14/2020 |
Last Update Date | 05/22/2023 |
Medicare PECOS PAC ID | 7911317755 |
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Medicare Enrollment ID | O20201105000874 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104459411 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Warren D Everett |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487600318 PECOS PAC ID: 0446239206 Enrollment ID: I20040715000571 |
Provider Name | David R Willis |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710901970 PECOS PAC ID: 8224091392 Enrollment ID: I20041109001102 |
Provider Name | Edward H Peacock |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1306905807 PECOS PAC ID: 7012943434 Enrollment ID: I20050727001024 |
Provider Name | Elizabeth Rena Bacchus |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578952206 PECOS PAC ID: 9436479110 Enrollment ID: I20150520001319 |
Provider Name | Michael Ebner |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1780798843 PECOS PAC ID: 3072893163 Enrollment ID: I20210914001422 |
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