United Doctors Family Medical Center - Altoona | |
7130 6th Ave Altoona AL 35952-9052 | |
(205) 589-1092 | |
(205) 589-1096 |
Full Name | United Doctors Family Medical Center - Altoona |
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Speciality | Internal Medicine |
Location | 7130 6th Ave, Altoona, Alabama |
Authorized Official Name and Position | Enrico D Gaspar (OWNER) |
Authorized Official Contact | 2568408181 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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United Doctors Family Medical Center - Altoona Po Box 35 Altoona AL 35952-0035 Ph: (205) 589-1092 | United Doctors Family Medical Center - Altoona 7130 6th Ave Altoona AL 35952-9052 Ph: (205) 589-1092 |
NPI Number | 1104456920 |
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Provider Enumeration Date | 01/21/2020 |
Last Update Date | 04/09/2022 |
Medicare PECOS PAC ID | 0648692582 |
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Medicare Enrollment ID | O20200622002415 |
Identifier | Type | State | Issuer |
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1104456920 | NPI | - | NPPES |
Provider Name | William L Gibson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083609606 PECOS PAC ID: 5991608457 Enrollment ID: I20040130000915 |
Provider Name | Enrico Deseo Y. Gaspar |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497740492 PECOS PAC ID: 6709849649 Enrollment ID: I20041110001234 |
Provider Name | Alvin V Tenchavez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225023211 PECOS PAC ID: 5294865895 Enrollment ID: I20100608000628 |
Provider Name | Ashley C Lackey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679847487 PECOS PAC ID: 3476714676 Enrollment ID: I20120416000461 |
Provider Name | Patrick J Sellers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205342268 PECOS PAC ID: 0345597761 Enrollment ID: I20180828002715 |
Provider Name | Cody E Jarmon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497230478 PECOS PAC ID: 1456693498 Enrollment ID: I20190423002698 |
Provider Name | Bethany L Tucker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881368934 PECOS PAC ID: 8820493067 Enrollment ID: I20210825003212 |
Provider Name | Branden Sims |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972265973 PECOS PAC ID: 6709276561 Enrollment ID: I20211209001896 |
Provider Name | Ethan Caleb Bonds |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154082758 PECOS PAC ID: 2769877505 Enrollment ID: I20220315000743 |
Provider Name | Kayla Winfrey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467173864 PECOS PAC ID: 0345617379 Enrollment ID: I20221104000960 |
Provider Name | Joni Kelley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851023543 PECOS PAC ID: 0840662797 Enrollment ID: I20230202001879 |
Provider Name | Amanda Mccormick Willis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508559956 PECOS PAC ID: 7618330499 Enrollment ID: I20230825003039 |