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125 Bob Lawrence Drive Winfield AL 35594-5120 | |
(205) 487-4535 | |
(205) 487-8827 |
Full Name | |
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Speciality | Family Medicine |
Location | 125 Bob Lawrence Drive, Winfield, Alabama |
Authorized Official Name and Position | Farouk Raquib (PHYSICIAN) |
Authorized Official Contact | 2054874535 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 1140 Winfield AL 35594-1140 Ph: (205) 487-4535 | 125 Bob Lawrence Drive Winfield AL 35594-5120 Ph: (205) 487-4535 |
NPI Number | 1760531479 |
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Provider Enumeration Date | 01/10/2007 |
Last Update Date | 01/27/2025 |
Medicare PECOS PAC ID | 4688864440 |
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Medicare Enrollment ID | O20101104000149 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760531479 | NPI | - | NPPES |
000032921 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QP2300X | Clinic/center - Primary Care | 16185 (Alabama) | Secondary |
Provider Name | Farouk A Raquib |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477511194 PECOS PAC ID: 9638150840 Enrollment ID: I20040525000842 |
Provider Name | Jennifer C Josey |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1669541843 PECOS PAC ID: 1355396714 Enrollment ID: I20050317001080 |
Provider Name | Kristan B May |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639607120 PECOS PAC ID: 5294005591 Enrollment ID: I20170719002357 |
Provider Name | Amber Lanae Busby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093354458 PECOS PAC ID: 8224443619 Enrollment ID: I20210217001070 |
Provider Name | Lacy Dotson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871185934 PECOS PAC ID: 5799193868 Enrollment ID: I20210409002197 |
Provider Name | Faith D Gosa |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245845452 PECOS PAC ID: 1557733946 Enrollment ID: I20230213001007 |
Provider Name | Lauren S Sanders |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619674892 PECOS PAC ID: 4183088594 Enrollment ID: I20230918002457 |
Provider Name | Jordan Frederick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245913367 PECOS PAC ID: 2567814528 Enrollment ID: I20240116002223 |
Raj Kumar Sehgal Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2685 Us Highway 43, Winfield, AL 35594 Phone: 205-487-3284 Fax: 205-487-3285 | |