| Southland Total Healthcare Systems, Inc. | |
|
2046 Beltline Rd Sw Decatur AL 35601-5549 | |
| (256) 353-0410 | |
| (256) 353-0649 |
| Full Name | Southland Total Healthcare Systems, Inc. |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 2046 Beltline Rd Sw, Decatur, Alabama |
| Authorized Official Name and Position | Wilatra Awoniyi (OFFICE MANAGER) |
| Authorized Official Contact | 2563530410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southland Total Healthcare Systems, Inc. 2046 Beltline Rd Sw Decatur AL 35601-5549 Ph: (256) 353-0410 | Southland Total Healthcare Systems, Inc. 2046 Beltline Rd Sw Decatur AL 35601-5549 Ph: (256) 353-0410 |
| NPI Number | 1356464036 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 09/18/2007 |
| Medicare PECOS PAC ID | 6305801846 |
|---|---|
| Medicare Enrollment ID | O20041124000262 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356464036 | NPI | - | NPPES |
| 529702900 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3912 (Alabama) | Secondary |
| 207VH0002X | Obstetrics & Gynecology - Hospice And Palliative Medicine | 9604 (Alabama) | Primary |
| Provider Name | Moses Adebayo Awoniyi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306060371 PECOS PAC ID: 0547225088 Enrollment ID: I20111219000582 |
Ronald E. Brown, D.d.s., Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2026 6th Ave Se, Decatur, AL 35601 Phone: 256-350-1347 Fax: 256-350-1386 | |
Alabama Smile Builders, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 431 Johnston St Se, Decatur, AL 35601 Phone: 256-355-1744 Fax: 256-351-0784 | |
Terry Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2122a Danville Rd Sw, Decatur, AL 35601 Phone: 256-476-0745 | |
Steve W Murphree Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1306 14th Ave Se, Decatur, AL 35601 Phone: 256-350-5810 Fax: 256-350-5813 | |
Decatur Family Dentistry, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2426 Danville Road Sw, Suite R, Decatur, AL 35603 Phone: 256-355-1557 Fax: 256-355-1911 | |
Dr. Penny L. Taylor D.m.d.,m.s.,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2514 Danville Rd Sw, Decatur, AL 35603 Phone: 256-351-1118 Fax: 256-351-1142 | |
Lew B. Sample, Dmd, Ms, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2014 Danville Park Dr Sw, Decatur, AL 35603 Phone: 256-355-5255 Fax: 256-355-8183 |