| Physicians Care Of Thomasville Llc | |
|
33621 Highway 43 Thomasville AL 36784-3347 | |
| (334) 636-5311 | |
| (334) 636-2280 |
| Full Name | Physicians Care Of Thomasville Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 33621 Highway 43, Thomasville, Alabama |
| Authorized Official Name and Position | Huey Randolph Kidd (OWNER/MANAGER) |
| Authorized Official Contact | 3346365311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians Care Of Thomasville Llc 33621 Highway 43 Thomasville AL 36784-3347 Ph: (334) 636-5311 | Physicians Care Of Thomasville Llc 33621 Highway 43 Thomasville AL 36784-3347 Ph: (334) 636-5311 |
| NPI Number | 1598750762 |
|---|---|
| Provider Enumeration Date | 09/14/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 2466433107 |
|---|---|
| Medicare Enrollment ID | O20040527000889 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598750762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Alabama) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| Provider Name | Kelly L Paparella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700290079 PECOS PAC ID: 5193944338 Enrollment ID: I20140919001384 |
| Provider Name | Donna C Stebbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871943324 PECOS PAC ID: 1658659826 Enrollment ID: I20161024001813 |
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