| Melissa Deberry Llc | |
|
180 Old Highway 431 Ste C Owens Cross Roads AL 35763-9274 | |
| (256) 585-3961 | |
| (256) 585-3971 |
| Full Name | Melissa Deberry Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 180 Old Highway 431 Ste C, Owens Cross Roads, Alabama |
| Authorized Official Name and Position | Melissa Deberry (OWNER/MD) |
| Authorized Official Contact | 2565853961 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Deberry Llc 5004 Willow Creek Dr Se Owens Cross Roads AL 35763-9157 Ph: (256) 585-3961 | Melissa Deberry Llc 180 Old Highway 431 Ste C Owens Cross Roads AL 35763-9274 Ph: (256) 585-3961 |
| NPI Number | 1649782913 |
|---|---|
| Provider Enumeration Date | 10/26/2017 |
| Last Update Date | 10/26/2017 |
| Medicare PECOS PAC ID | 3577821180 |
|---|---|
| Medicare Enrollment ID | O20180102002512 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649782913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Melissa S Deberry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982805776 PECOS PAC ID: 9133203284 Enrollment ID: I20080227000638 |
Cove Medical Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 180 Old Highway 431 Ste C, Owens Cross Roads, AL 35763 Phone: 256-585-3961 Fax: 256-585-3971 | |
Huntsville Hospital Medical Clinic At Hampton Co Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 262 Sutton Road, Owens Cross Roads, AL 35763 Phone: 256-265-0350 Fax: 256-265-0357 |