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2930 Hwy 237 Phil Campbell AL 35581-0817 | |
(205) 993-5642 | |
(205) 993-5926 |
Full Name | |
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Speciality | Family Medicine |
Location | 2930 Hwy 237, Phil Campbell, Alabama |
Authorized Official Name and Position | Stanley Keith Morrow (OWNER) |
Authorized Official Contact | 2059935642 |
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 817 Phil Campbell AL 35581-0817 Ph: (205) 993-5642 | 2930 Hwy 237 Phil Campbell AL 35581-0817 Ph: (205) 993-5642 |
NPI Number | 1124138763 |
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Provider Enumeration Date | 08/30/2006 |
Last Update Date | 04/10/2008 |
Medicare PECOS PAC ID | 4981891967 |
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Medicare Enrollment ID | O20101203000614 |
Identifier | Type | State | Issuer |
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1124138763 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |