| J Walden Retan, MD | |
|
177 Oak Ridge Ln, Talladega, AL 35160-8303 | |
| (205) 266-4928 | |
| Not Available |
| Full Name | J Walden Retan |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 177 Oak Ridge Ln, Talladega, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225104094 | NPI | - | NPPES |
| 5241 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 3223 (Alabama) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 3223 (Alabama) | Secondary |
| Entity Name | Cooper Green Mercy Health Services Authority An Affiliate Of Uab |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366073108 PECOS PAC ID: 0840629473 Enrollment ID: O20200402003238 |
| Mailing Address | Practice Location Address |
|---|---|
| J Walden Retan, MD 177 Oak Ridge Ln, Talladega, AL 35160-8303 Ph: (205) 266-4928 | J Walden Retan, MD 177 Oak Ridge Ln, Talladega, AL 35160-8303 Ph: (205) 266-4928 |
Anne B. Davis, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 803 North St E, Talladega, AL 35160 Phone: 256-315-2252 Fax: 256-362-1664 | |
Andrew B. Huang, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 320 Coosa St E, Talladega, AL 35160 Phone: 256-362-3636 Fax: 256-362-0027 | |
Jimmy W. Davis, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 101 Stephen J White Blvd, Talladega, AL 35160 Phone: 256-315-2252 Fax: 256-362-5959 | |
Dr. Uninibile O Odama, M.D Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 210 North Street W, Suite D, Landmark Nephrology And Hypertension Clinic, Talladega, AL 35160 Phone: 256-283-9760 |