Sylacauga Internal Medicine, Llc | |
310 W Fort Williams St Sylacauga AL 35150-2434 | |
(256) 249-0061 | |
(256) 249-2033 |
Full Name | Sylacauga Internal Medicine, Llc |
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Speciality | Internal Medicine |
Location | 310 W Fort Williams St, Sylacauga, Alabama |
Authorized Official Name and Position | Abdalla M Elkhier (SOLE PROPRIETOR) |
Authorized Official Contact | 2562490061 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sylacauga Internal Medicine, Llc Po Box 2419 Sylacauga AL 35150-5419 Ph: (256) 249-0061 | Sylacauga Internal Medicine, Llc 310 W Fort Williams St Sylacauga AL 35150-2434 Ph: (256) 249-0061 |
NPI Number | 1033388970 |
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Provider Enumeration Date | 02/25/2008 |
Last Update Date | 02/25/2008 |
Medicare PECOS PAC ID | 1850323759 |
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Medicare Enrollment ID | O20050831000248 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033388970 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 00023122 (Alabama) | Primary |
Provider Name | Abdalla M Elkhier |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649222753 PECOS PAC ID: 0941102750 Enrollment ID: I20040122000883 |
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