| Huey Randolph Kidd, DO | |
|
33650 Highway 43, Thomasville, AL 36784-3305 | |
| (334) 636-5311 | |
| (334) 636-2280 |
| Full Name | Huey Randolph Kidd |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 33650 Highway 43, Thomasville, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265427090 | NPI | - | NPPES |
| 541393401 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO-0546 (Alabama) | Primary |
| Entity Name | Physicians Care Of Clarke |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801502265 PECOS PAC ID: 2961809736 Enrollment ID: O20210921001942 |
| Mailing Address | Practice Location Address |
|---|---|
| Huey Randolph Kidd, DO 24b Camden Byp, Camden, AL 36726-1770 Ph: (334) 882-1919 | Huey Randolph Kidd, DO 33650 Highway 43, Thomasville, AL 36784-3305 Ph: (334) 636-5311 |
De'ja Danielle Davis, CRNP Family Medicine Medicare: Medicare Enrolled Practice Location: 1517 Ridgeway St, Thomasville, AL 36784 Phone: 251-605-7272 | |
Dr. Mark Peter Koch, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 33700 Hwy 43, Thomasville, AL 36784 Phone: 334-636-4431 Fax: 334-636-6129 | |
Mrs. Daveta Best Dozier, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1415 Mosley Dr, Thomasville, AL 36784 Phone: 334-636-9613 Fax: 334-636-9676 | |
Mr. Frank Leonard Dozier, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1415 Mosley Dr, Thomasville, AL 36784 Phone: 334-636-9613 Fax: 334-636-9676 |