| West Alabama Aids Outreach Inc | |
|
2703 7th St Tuscaloosa AL 35401-1865 | |
| (205) 759-8470 | |
| (205) 366-9001 |
| Full Name | West Alabama Aids Outreach Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2703 7th St, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Billy Daniel Kirkpatrick (CEO) |
| Authorized Official Contact | 2057598470 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Alabama Aids Outreach Inc 2715 7th St Tuscaloosa AL 35401-1805 Ph: (205) 759-8470 | West Alabama Aids Outreach Inc 2703 7th St Tuscaloosa AL 35401-1865 Ph: (205) 759-8470 |
| NPI Number | 1942043070 |
|---|---|
| Provider Enumeration Date | 06/17/2024 |
| Last Update Date | 06/17/2024 |
| Medicare PECOS PAC ID | 7517212376 |
|---|---|
| Medicare Enrollment ID | O20210204002053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942043070 | NPI | - | NPPES |
| Provider Name | Monica Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528004249 PECOS PAC ID: 8921083205 Enrollment ID: I20040621001622 |
| Provider Name | Christina V Poole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114395050 PECOS PAC ID: 5193026300 Enrollment ID: I20151214000050 |
| Provider Name | Clifton Shane Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407205156 PECOS PAC ID: 2860777471 Enrollment ID: I20190809001604 |
| Provider Name | Margaret Hyer White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700557915 PECOS PAC ID: 4082012950 Enrollment ID: I20211006002534 |
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