| Quickmd Medical Group Pa | |
|
2660 10th Ave S Ste 101 Birmingham AL 35205-1622 | |
| (888) 878-4256 | |
| Not Available |
| Full Name | Quickmd Medical Group Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2660 10th Ave S Ste 101, Birmingham, Alabama |
| Authorized Official Name and Position | Katrina Merritt (SENIOR MANAGER, CREDENTIALING) |
| Authorized Official Contact | 8135965726 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quickmd Medical Group Pa 3865 Holcomb Bridge Rd Peachtree Corners GA 30092-2205 Ph: (888) 878-4256 | Quickmd Medical Group Pa 2660 10th Ave S Ste 101 Birmingham AL 35205-1622 Ph: (888) 878-4256 |
| NPI Number | 1114647625 |
|---|---|
| Provider Enumeration Date | 09/02/2022 |
| Last Update Date | 01/15/2024 |
| Certification Date | 01/15/2024 |
| Medicare PECOS PAC ID | 2961898648 |
|---|---|
| Medicare Enrollment ID | O20221108000539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114647625 | NPI | - | NPPES |
| Provider Name | Ellena Lois Boddie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689673790 PECOS PAC ID: 0840399515 Enrollment ID: I20201123003286 |
| Provider Name | Shahzad Chaudhary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700265030 PECOS PAC ID: 3779835103 Enrollment ID: I20221108000695 |
| Provider Name | Angela Schultz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548258387 PECOS PAC ID: 0143113217 Enrollment ID: I20221108001109 |
| Provider Name | Concepcion Martinez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710973946 PECOS PAC ID: 5991721201 Enrollment ID: I20221108001500 |
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