| Paul D Lavender | |
|
27340 Hwy 86 Gordo AL 35466 | |
| (205) 364-7135 | |
| (205) 364-2455 |
| Full Name | Paul D Lavender |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 27340 Hwy 86, Gordo, Alabama |
| Authorized Official Name and Position | Kathy P Price (DIRECTOR OF PHYSICIAN SERVICES) |
| Authorized Official Contact | 2053678111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul D Lavender Po Box 360 Carrollton AL 35447-0360 Ph: (205) 364-7135 | Paul D Lavender 27340 Hwy 86 Gordo AL 35466 Ph: (205) 364-7135 |
| NPI Number | 1467506469 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 09/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467506469 | NPI | - | NPPES |
| 529922240 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Pickens County Primary Care, P.c Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 630 4th St Nw, Gordo, AL 35466 Phone: 205-375-6251 Fax: 205-375-9064 | |
Gordo Primary Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27340 Highway 86, Gordo, AL 35466 Phone: 205-364-7135 Fax: 205-364-8244 | |
Pickens County Family Practice Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27340 Hwy 86, Gordo, AL 35466 Phone: 205-364-7135 | |
Pickens County Primary Care, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 535 4th St Nw, Gordo, AL 35466 Phone: 205-656-4872 | |
Pickens County Family Practice Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 27340 Highway 86, Gordo, AL 35466 Phone: 205-364-7135 Fax: 205-364-8244 |