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2650 Gunter Park Dr E Montgomery AL 36109-1417 | |
(334) 523-6395 | |
(334) 523-6225 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 2650 Gunter Park Dr E, Montgomery, Alabama |
Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | 2650 Gunter Park Dr E Montgomery AL 36109-1417 Ph: (334) 523-6395 |
NPI Number | 1619495041 |
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Provider Enumeration Date | 09/06/2017 |
Last Update Date | 08/23/2023 |
Identifier | Type | State | Issuer |
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1619495041 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Your Doctor's Office, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8630 Vaughn Rd, Montgomery, AL 36117 Phone: 334-676-4076 Fax: 334-676-4064 | |
Aikam Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2895 Zelda Rd, Montgomery, AL 36106 Phone: 334-245-5969 | |