Tricounty Family Practice, Pc | |
149 Chestnut St Roanoke AL 36274-1301 | |
(334) 863-5484 | |
(334) 863-5481 |
Full Name | Tricounty Family Practice, Pc |
---|---|
Speciality | Family Medicine |
Location | 149 Chestnut St, Roanoke, Alabama |
Authorized Official Name and Position | Abayomi G Oshinowo (MEDICAL DIRECTOR) |
Authorized Official Contact | 3348635484 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tricounty Family Practice, Pc 149 Chestnut St Roanoke AL 36274-1301 Ph: (334) 863-5484 | Tricounty Family Practice, Pc 149 Chestnut St Roanoke AL 36274-1301 Ph: (334) 863-5484 |
NPI Number | 1891897948 |
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Provider Enumeration Date | 09/01/2006 |
Last Update Date | 12/16/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891897948 | NPI | - | NPPES |
529904460 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20466 (Alabama) | Primary |
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