| |
633 South Union Ave Ozark AL 36360 | |
(334) 774-7572 | |
(334) 774-6237 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 633 South Union Ave, Ozark, Alabama |
Authorized Official Name and Position | Vernon L. Johnson (CEO) |
Authorized Official Contact | 3347742601 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 863 Ozark AL 36361-0863 Ph: (334) 443-1211 | 633 South Union Ave Ozark AL 36360 Ph: (334) 774-7572 |
NPI Number | 1003264136 |
---|---|
Provider Enumeration Date | 05/31/2016 |
Last Update Date | 04/11/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003264136 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Magnolia Premier Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 126 N Court Sq Ste 2, Ozark, AL 36360 Phone: 334-464-8100 Fax: 334-323-7779 | |
Taylor D. Caffey, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 370 James St, Suite 101, Ozark, AL 36360 Phone: 334-774-8483 Fax: 334-774-5742 |