| Jerry Allen Grant Jr, DO | |
|
220 Doug Baker Blvd Ste 100, Hoover, AL 35242-2680 | |
| (205) 980-0035 | |
| (205) 980-1649 |
| Full Name | Jerry Allen Grant Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 220 Doug Baker Blvd Ste 100, Hoover, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407476385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | DO.2703 (Alabama) | Secondary |
| 207R00000X | Internal Medicine | 2703 (Alabama) | Primary |
| Entity Name | University Of Alabama Health Services Foundation, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093768723 PECOS PAC ID: 1951213107 Enrollment ID: O20031105000261 |
| Entity Name | Internal Medicine Associates P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225108715 PECOS PAC ID: 0941251607 Enrollment ID: O20050210000091 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry Allen Grant Jr, DO 220 Doug Baker Blvd Ste 100, Hoover, AL 35242-2680 Ph: (205) 980-0035 | Jerry Allen Grant Jr, DO 220 Doug Baker Blvd Ste 100, Hoover, AL 35242-2680 Ph: (205) 980-0035 |
Mohannad Fadl Azzam, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2052 Blackridge Rd, Hoover, AL 35244 Phone: 205-934-4794 | |
Malia Bree Downing, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2279 Valleydale Rd Ste 100, Hoover, AL 35244 Phone: 205-214-7546 Fax: 205-449-2495 | |
Maria Rosario Abano Cumagun, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1870 Chace Dr Ste 160, Hoover, AL 35244 Phone: 205-733-7110 Fax: 205-733-7859 | |
Raj Vachhani, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 Emery Dr W, Hoover, AL 35244 Phone: 205-989-7254 | |
Dr. James Pham Ho, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1744 Napier Dr, Hoover, AL 35226 Phone: 205-261-1075 | |
Andrea M Pincham Benton, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3700 Cahaba Beach Rd, Hoover, AL 35242 Phone: 205-402-8902 Fax: 205-402-8902 | |
Mr. Chris A Phillips, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 Lorna Rd Ste 212, Hoover, AL 35216 Phone: 205-733-6033 Fax: 205-733-6036 |