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433 Saint Lukes Dr Montgomery AL 36117-7107 | |
(334) 260-8308 | |
(334) 260-8389 |
Full Name | |
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Speciality | Family Medicine |
Location | 433 Saint Lukes Dr, Montgomery, Alabama |
Authorized Official Name and Position | Eustace Arnold Johnson (OWNER) |
Authorized Official Contact | 3342608308 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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433 Saint Lukes Dr Montgomery AL 36117-7107 Ph: (334) 260-8308 | 433 Saint Lukes Dr Montgomery AL 36117-7107 Ph: (334) 260-8308 |
NPI Number | 1215948013 |
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Provider Enumeration Date | 08/10/2006 |
Last Update Date | 04/24/2012 |
Identifier | Type | State | Issuer |
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1215948013 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Your Doctor's Office, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8630 Vaughn Rd, Montgomery, AL 36117 Phone: 334-676-4076 Fax: 334-676-4064 | |
Aikam Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2895 Zelda Rd, Montgomery, AL 36106 Phone: 334-245-5969 | |