| |
8190 Seaton Pl Montgomery AL 36116-7204 | |
(334) 396-9100 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 8190 Seaton Pl, Montgomery, Alabama |
Authorized Official Name and Position | Jeff Senft (COO) |
Authorized Official Contact | 3343969100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 240369 Montgomery AL 36124-0369 Ph: (334) 396-9100 | 8190 Seaton Pl Montgomery AL 36116-7204 Ph: (334) 396-9100 |
NPI Number | 1881675536 |
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Provider Enumeration Date | 11/09/2005 |
Last Update Date | 12/28/2009 |
Medicare PECOS PAC ID | 1951361344 |
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Medicare Enrollment ID | O20041011000450 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881675536 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Alton S Hendon |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902887649 PECOS PAC ID: 6103998299 Enrollment ID: I20080707000479 |
Provider Name | Eric Graves |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871574517 PECOS PAC ID: 8022200989 Enrollment ID: I20101011000401 |
Provider Name | Jeffrey Mathis |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215918958 PECOS PAC ID: 9830381706 Enrollment ID: I20101011000424 |
Provider Name | Daniel Moore |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457332108 PECOS PAC ID: 2264625623 Enrollment ID: I20101019000535 |
Provider Name | Brian W Elrod |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508847963 PECOS PAC ID: 2769442151 Enrollment ID: I20101115001097 |
Provider Name | Benjamin R Burkett |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538322052 PECOS PAC ID: 3971750001 Enrollment ID: I20211006000440 |
Your Doctor's Office, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8630 Vaughn Rd, Montgomery, AL 36117 Phone: 334-676-4076 Fax: 334-676-4064 | |
Aikam Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2895 Zelda Rd, Montgomery, AL 36106 Phone: 334-245-5969 | |