Partners Medical Clinic Llc | |
431 South 5th Street Gadsden AL 35901 | |
(256) 547-3822 | |
(256) 547-3825 |
Full Name | Partners Medical Clinic Llc |
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Speciality | Family Medicine |
Location | 431 South 5th Street, Gadsden, Alabama |
Authorized Official Name and Position | Afolake Oguntuyo (OFFICE MANAGER) |
Authorized Official Contact | 2565473822 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Partners Medical Clinic Llc 500 S 5th St Suite 1040 Gadsden AL 35901-5104 Ph: (256) 547-3822 | Partners Medical Clinic Llc 431 South 5th Street Gadsden AL 35901 Ph: (256) 547-3822 |
NPI Number | 1316278880 |
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Provider Enumeration Date | 01/24/2010 |
Last Update Date | 01/17/2014 |
Medicare PECOS PAC ID | 5193853109 |
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Medicare Enrollment ID | O20100512001011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316278880 | NPI | - | NPPES |
510I080262 | Other | AL | PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 26835 (Alabama) | Primary |
Provider Name | Jimmy A Oguntuyo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174572754 PECOS PAC ID: 4688607690 Enrollment ID: I20050912000237 |
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