The Perdido Bay Medical Group | |
34463 Us Highway 98 Ste G Lillian AL 36549-4049 | |
(251) 961-0874 | |
Not Available |
Full Name | The Perdido Bay Medical Group |
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Speciality | Family Medicine |
Location | 34463 Us Highway 98 Ste G, Lillian, Alabama |
Authorized Official Name and Position | Michelle Hawthorne (CREDENTIALING AND BILLING MANAGER) |
Authorized Official Contact | 2052922428 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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The Perdido Bay Medical Group 7094 Forest Mill Dr Cottondale AL 35453-1446 Ph: (205) 292-2428 | The Perdido Bay Medical Group 34463 Us Highway 98 Ste G Lillian AL 36549-4049 Ph: (251) 961-0874 |
NPI Number | 1497354617 |
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Provider Enumeration Date | 10/19/2020 |
Last Update Date | 10/30/2020 |
Medicare PECOS PAC ID | 2365855673 |
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Medicare Enrollment ID | O20210106000106 |
Identifier | Type | State | Issuer |
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1497354617 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Daniel H Spriggs |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417963315 PECOS PAC ID: 5395869887 Enrollment ID: I20100907000369 |
Kammer Chiropractic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12232 County Rd. 99 S., Lillian, AL 36549 Phone: 251-962-4610 |