| Mrs Sue Wilker Owen, CRNP | |
|
208 W Fort William, Sylacauga, AL 35150 | |
| (256) 249-0943 | |
| (256) 249-0943 |
| Full Name | Mrs Sue Wilker Owen |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 208 W Fort William, Sylacauga, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902884471 | NPI | - | NPPES |
| 891001550 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1024118 (Alabama) | Primary |
| Entity Name | Sylacauga Family Health Center L.l.c |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316962228 PECOS PAC ID: 2567420250 Enrollment ID: O20041228000676 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Sue Wilker Owen, CRNP 208 W Fort Williams St, Sylacauga, AL 35150-2432 Ph: (256) 249-0943 | Mrs Sue Wilker Owen, CRNP 208 W Fort William, Sylacauga, AL 35150 Ph: (256) 249-0943 |
Clayton H. Davis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 209 W Spring St, Suite 102, Sylacauga, AL 35150 Phone: 256-401-4686 Fax: 256-401-4694 | |
Dr. Clifton Garris, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1023 West Fort Williams St, Sylacauga, AL 35150 Phone: 256-245-6700 Fax: 256-245-6002 | |
Henley Livingston, CRNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 208 West Fort Williams, Sylacauga, AL 35150 Phone: 256-249-0943 Fax: 256-249-0941 | |
Anthony Jerome Nix Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 209 W Spring St, Suite 100, Sylacauga, AL 35150 Phone: 256-401-4686 Fax: 256-401-4694 | |
Dr. Michael Stanford, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 315 W Hickory St, Sylacauga, AL 35150 Phone: 205-555-5555 | |
Renee S Davis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 209 W Spring St, Suite 102, Sylacauga, AL 35150 Phone: 256-401-4686 Fax: 256-401-4694 |