Primary Care Services-blount, Llc | |
101 Lemley Dr Ste A Oneonta AL 35121-2100 | |
(205) 625-3561 | |
(205) 274-9638 |
Full Name | Primary Care Services-blount, Llc |
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Speciality | Clinic/Center |
Location | 101 Lemley Dr Ste A, Oneonta, Alabama |
Authorized Official Name and Position | Zakir N Khan (OWNER) |
Authorized Official Contact | 2056253561 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Primary Care Services-blount, Llc Po Box 389 Clay AL 35048-0389 Ph: (205) 625-3561 | Primary Care Services-blount, Llc 101 Lemley Dr Ste A Oneonta AL 35121-2100 Ph: (205) 625-3561 |
NPI Number | 1225108723 |
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Provider Enumeration Date | 11/09/2006 |
Last Update Date | 11/05/2018 |
Medicare PECOS PAC ID | 2860494945 |
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Medicare Enrollment ID | O20070201000532 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225108723 | NPI | - | NPPES |
Provider Name | Zakir N Khan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437118577 PECOS PAC ID: 6103861505 Enrollment ID: I20050627000456 |
Provider Name | Mina S Khan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215095559 PECOS PAC ID: 3577565654 Enrollment ID: I20070202000234 |
Provider Name | Erica M Brewer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578988200 PECOS PAC ID: 4082838941 Enrollment ID: I20140616000573 |
Provider Name | Brittany Latham Marsh |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538602685 PECOS PAC ID: 4486937745 Enrollment ID: I20170210001357 |
Provider Name | Ashley Lane Nolen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194286476 PECOS PAC ID: 7618334103 Enrollment ID: I20230526000258 |
St. Vincent's Blount Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Gilbreath Dr, Oneonta, AL 35121 Phone: 205-274-3001 Fax: 205-274-3002 | |
Ascension St. Vincent's Primary Care Oneonta Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 150 Gilbreath Dr, Suite 201, Oneonta, AL 35121 Phone: 205-274-3010 | |
St. Vincent's Blount Hospitalist Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Gilbreath Dr, Attn: Administration / Hospitalist Services, Oneonta, AL 35121 Phone: 205-274-3010 Fax: 205-274-3002 | |
Eastern Medical Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Gilbreath Dr, Oneonta, AL 35121 Phone: 205-274-3344 | |
Midway Medical Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 27550 State Highway 75 Ste 105, Oneonta, AL 35121 Phone: 256-451-1250 | |
St Vincents Blount Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Gilbreath Dr, Suite 200, Oneonta, AL 35121 Phone: 205-838-5286 |