Remnant Medicine Llc | |
1805 Station Dr Prattville AL 36066-5667 | |
(334) 730-0880 | |
(334) 730-0877 |
Full Name | Remnant Medicine Llc |
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Speciality | Clinic/Center |
Location | 1805 Station Dr, Prattville, Alabama |
Authorized Official Name and Position | Amanda Wilcox (PHYSICIAN/MANAGER) |
Authorized Official Contact | 3347300880 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Remnant Medicine Llc 1805 Station Dr Prattville AL 36066-5667 Ph: (334) 730-0880 | Remnant Medicine Llc 1805 Station Dr Prattville AL 36066-5667 Ph: (334) 730-0880 |
NPI Number | 1164891248 |
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Provider Enumeration Date | 09/18/2015 |
Last Update Date | 09/18/2015 |
Medicare PECOS PAC ID | 1355644535 |
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Medicare Enrollment ID | O20160121001526 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164891248 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 150982 (Alabama) | Primary |
Provider Name | Amanda D Wilcox |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669763868 PECOS PAC ID: 6709055130 Enrollment ID: I20110801000835 |
Provider Name | Hayley Kennedy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992137178 PECOS PAC ID: 9032353354 Enrollment ID: I20130926000173 |
Provider Name | Katrina Jones Harris |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316491046 PECOS PAC ID: 8527346915 Enrollment ID: I20161107001096 |
Provider Name | Ashley Adams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538465570 PECOS PAC ID: 3173877370 Enrollment ID: I20181106002106 |
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