| West Jefferson Internal Medicine Pc | |
|
1088 9th Ave Sw Suite 104 Bessemer AL 35022-4530 | |
| (205) 426-0546 | |
| (205) 426-0326 |
| Full Name | West Jefferson Internal Medicine Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1088 9th Ave Sw, Bessemer, Alabama |
| Authorized Official Name and Position | Reid Christopher (PRESIDENT) |
| Authorized Official Contact | 2054260546 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Jefferson Internal Medicine Pc 1088 9th Ave Sw Suite 104 Bessemer AL 35022-4530 Ph: (205) 426-0546 | West Jefferson Internal Medicine Pc 1088 9th Ave Sw Suite 104 Bessemer AL 35022-4530 Ph: (205) 426-0546 |
| NPI Number | 1356463129 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 04/05/2024 |
| Medicare PECOS PAC ID | 2365497518 |
|---|---|
| Medicare Enrollment ID | O20050321000632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356463129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Alabama) | Primary |
| Provider Name | Wallace B Purdy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528166832 PECOS PAC ID: 2567422520 Enrollment ID: I20041109001130 |
| Provider Name | Reid S Christopher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609978964 PECOS PAC ID: 8729041744 Enrollment ID: I20041110000292 |
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