| Dr Viengxay Thomas Malavong, DO | |
|
9920 Boe Rd, Irvington, AL 36544-2766 | |
| (334) 780-8814 | |
| (888) 583-3618 |
| Full Name | Dr Viengxay Thomas Malavong |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 9920 Boe Rd, Irvington, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508120577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO1492 (Alabama) | Primary |
| Entity Name | Stopwatch Urgent Care Centers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841506458 PECOS PAC ID: 7719166230 Enrollment ID: O20110128000664 |
| Entity Name | Aspire Integrative Health Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225491426 PECOS PAC ID: 4688009202 Enrollment ID: O20200108002121 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Viengxay Thomas Malavong, DO 9920 Boe Rd, Irvington, AL 36544-2766 Ph: (334) 780-8814 | Dr Viengxay Thomas Malavong, DO 9920 Boe Rd, Irvington, AL 36544-2766 Ph: (334) 780-8814 |
Eliceia Dionne Jackson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12701 Padgett Switch Rd, Irvington, AL 36544 Phone: 251-824-2174 Fax: 251-824-2286 | |
Dr. Alan Jay Sherman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12701 Padgett Switch Rd, Irvington, AL 36544 Phone: 251-824-2174 |