Weiss Family Care Llc | |
280 Industrial Blvd Leesburg AL 35983-3737 | |
(256) 526-3323 | |
(256) 526-3324 |
Full Name | Weiss Family Care Llc |
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Speciality | Family Medicine |
Location | 280 Industrial Blvd, Leesburg, Alabama |
Authorized Official Name and Position | Kristie L Burt (OWNER) |
Authorized Official Contact | 2565263323 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Weiss Family Care Llc 280 Industrial Blvd Leesburg AL 35983-3737 Ph: (256) 526-3323 | Weiss Family Care Llc 280 Industrial Blvd Leesburg AL 35983-3737 Ph: (256) 526-3323 |
NPI Number | 1275240608 |
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Provider Enumeration Date | 11/04/2022 |
Last Update Date | 12/03/2024 |
Medicare PECOS PAC ID | 5890168876 |
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Medicare Enrollment ID | O20230223000129 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275240608 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
Provider Name | Kathleen A Duryea |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609881333 PECOS PAC ID: 2567472251 Enrollment ID: I20060425000804 |
Provider Name | William B Perry |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538184635 PECOS PAC ID: 8820172430 Enrollment ID: I20080220000676 |
Provider Name | Kristie L Burt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073887659 PECOS PAC ID: 2860652989 Enrollment ID: I20130530000632 |
Provider Name | Cierra Jennings |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538694971 PECOS PAC ID: 4082981840 Enrollment ID: I20170525002551 |
Provider Name | Christopher Michael Stimpson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427803055 PECOS PAC ID: 6305288259 Enrollment ID: I20240523003677 |