| Stonestar Health Llc | |
|
131 Market Pl Montgomery AL 36117-4900 | |
| (334) 538-9853 | |
| Not Available |
| Full Name | Stonestar Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 131 Market Pl, Montgomery, Alabama |
| Authorized Official Name and Position | Marcus Deramus (CEO) |
| Authorized Official Contact | 3345389853 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stonestar Health Llc 131 Market Pl Montgomery AL 36117-4900 Ph: (334) 538-9853 | Stonestar Health Llc 131 Market Pl Montgomery AL 36117-4900 Ph: (334) 538-9853 |
| NPI Number | 1669175600 |
|---|---|
| Provider Enumeration Date | 03/27/2023 |
| Last Update Date | 06/15/2023 |
| Certification Date | 06/15/2023 |
| Medicare PECOS PAC ID | 8426407529 |
|---|---|
| Medicare Enrollment ID | O20231214002745 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669175600 | NPI | - | NPPES |
| Provider Name | Charlene Harrell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1073020749 PECOS PAC ID: 6709112279 Enrollment ID: I20190723000767 |
| Provider Name | Barbara E Adams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215087978 PECOS PAC ID: 0244633170 Enrollment ID: I20210729000813 |
| Provider Name | Marilyn T Caffey |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316269905 PECOS PAC ID: 9537564570 Enrollment ID: I20210830000506 |
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