| Physician Management Services Of Alabama Llc | |
|
126 Clinic Dr Dothan AL 36303-1980 | |
| (888) 829-8550 | |
| Not Available |
| Full Name | Physician Management Services Of Alabama Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 126 Clinic Dr, Dothan, Alabama |
| Authorized Official Name and Position | Brett Kenefick (PRESIDENT) |
| Authorized Official Contact | 4077548723 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Management Services Of Alabama Llc 3113 Lawton Rd Suite 250 Orlando FL 32803-3531 Ph: (888) 829-8550 | Physician Management Services Of Alabama Llc 126 Clinic Dr Dothan AL 36303-1980 Ph: (888) 829-8550 |
| NPI Number | 1568901742 |
|---|---|
| Provider Enumeration Date | 02/21/2017 |
| Last Update Date | 02/21/2017 |
| Medicare PECOS PAC ID | 6901136621 |
|---|---|
| Medicare Enrollment ID | O20190924000489 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568901742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 19199 (Alabama) | Primary |
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