| West Alabama Internal Medicine, Llc | |
|
701 University Blvd E Suite 810 Tuscaloosa AL 35401-2086 | |
| (205) 366-0009 | |
| (205) 366-0097 |
| Full Name | West Alabama Internal Medicine, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 701 University Blvd E, Tuscaloosa, Alabama |
| Authorized Official Name and Position | William Keith Debell (PHYSICIAN PART OWNER) |
| Authorized Official Contact | 2053660009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Alabama Internal Medicine, Llc 701 University Blvd E Suite 810 Tuscaloosa AL 35401-2086 Ph: (205) 366-0009 | West Alabama Internal Medicine, Llc 701 University Blvd E Suite 810 Tuscaloosa AL 35401-2086 Ph: (205) 366-0009 |
| NPI Number | 1881761013 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 01/06/2016 |
| Medicare PECOS PAC ID | 6901851690 |
|---|---|
| Medicare Enrollment ID | O20050315000993 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881761013 | NPI | - | NPPES |
| 529923040 | Medicaid | AL | |
| DC8873 | Other | AL | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Secondary |
| Provider Name | Debra S Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508933748 PECOS PAC ID: 2567459720 Enrollment ID: I20040428001608 |
| Provider Name | William K Debell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184791329 PECOS PAC ID: 9537114228 Enrollment ID: I20050316000205 |
| Provider Name | Linda C Canterbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467739235 PECOS PAC ID: 3072780170 Enrollment ID: I20120112000403 |
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