Corelife Alabama Llc | |
3829 Lorna Rd Hoover AL 35244-7034 | |
(205) 710-2368 | |
Not Available |
Full Name | Corelife Alabama Llc |
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Speciality | Family Medicine |
Location | 3829 Lorna Rd, Hoover, Alabama |
Authorized Official Name and Position | Kelly Sheehan (DIRECTOR, RCM) |
Authorized Official Contact | 4434396309 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Corelife Alabama Llc 1111 Benfield Blvd Ste 250 Millersville MD 21108 Ph: (443) 688-6909 | Corelife Alabama Llc 3829 Lorna Rd Hoover AL 35244-7034 Ph: (205) 710-2368 |
NPI Number | 1043892672 |
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Provider Enumeration Date | 04/23/2021 |
Last Update Date | 10/14/2021 |
Certification Date | 10/14/2021 |
Medicare PECOS PAC ID | 4385059260 |
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Medicare Enrollment ID | O20210505002075 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043892672 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Raymond James Browne |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194705178 PECOS PAC ID: 9638188170 Enrollment ID: I20060501000417 |
Provider Name | Whitney Tew |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205268810 PECOS PAC ID: 9931339322 Enrollment ID: I20160706001757 |
Provider Name | Dana Marie Morson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396262937 PECOS PAC ID: 6608132741 Enrollment ID: I20171107000683 |
Provider Name | Cynthia K Barrett |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1811993843 PECOS PAC ID: 2163487406 Enrollment ID: I20180903000006 |
Provider Name | Lee Baxter |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1982248308 PECOS PAC ID: 4789018656 Enrollment ID: I20191231001110 |
Provider Name | Lora L Frost |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649811654 PECOS PAC ID: 1153750880 Enrollment ID: I20200401001903 |
Provider Name | Hope Dear |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487268785 PECOS PAC ID: 7214357185 Enrollment ID: I20201014001639 |
Provider Name | Amanda Davis |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1598107112 PECOS PAC ID: 6800207903 Enrollment ID: I20201120001858 |
Provider Name | Sarah Abston |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1164004446 PECOS PAC ID: 6103226378 Enrollment ID: I20210609001179 |
Provider Name | Lacey Shuttleworth |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609499722 PECOS PAC ID: 1153719893 Enrollment ID: I20211028001985 |
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