| Parkway Medical Center, Llc | |
|
1160 Huffman Road Birmingham AL 35215 | |
| (205) 815-5000 | |
| (205) 815-5246 |
| Full Name | Parkway Medical Center, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1160 Huffman Road, Birmingham, Alabama |
| Authorized Official Name and Position | James Gregory Sullivan (PHYSICIAN) |
| Authorized Official Contact | 2058155000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkway Medical Center, Llc 1160 Huffman Road Birmingham AL 35215 Ph: (205) 815-5000 | Parkway Medical Center, Llc 1160 Huffman Road Birmingham AL 35215 Ph: (205) 815-5000 |
| NPI Number | 1558497016 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 09/23/2014 |
| Medicare PECOS PAC ID | 3779572201 |
|---|---|
| Medicare Enrollment ID | O20040510001361 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558497016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 11133 (Alabama) | Secondary |
| 207Q00000X | Family Medicine | 15983 (Alabama) | Secondary |
| 207R00000X | Internal Medicine | 11351 (Alabama) | Primary |
| Provider Name | James G Sullivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588613020 PECOS PAC ID: 2264421791 Enrollment ID: I20060616000188 |
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