| Autauga Medical Clinic Llc | |
|
201 S Washington St Ste A Autaugaville AL 36003-2535 | |
| (334) 361-9979 | |
| (334) 361-7858 |
| Full Name | Autauga Medical Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 201 S Washington St Ste A, Autaugaville, Alabama |
| Authorized Official Name and Position | James G Faulk (CEO) |
| Authorized Official Contact | 3343619979 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Autauga Medical Clinic Llc Po Box 490 Autaugaville AL 36003-0490 Ph: (334) 361-9979 | Autauga Medical Clinic Llc 201 S Washington St Ste A Autaugaville AL 36003-2535 Ph: (334) 361-9979 |
| NPI Number | 1821396482 |
|---|---|
| Provider Enumeration Date | 03/07/2011 |
| Last Update Date | 04/20/2011 |
| Medicare PECOS PAC ID | 8022293802 |
|---|---|
| Medicare Enrollment ID | O20110420000408 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821396482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lee R Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437365012 PECOS PAC ID: 1456437698 Enrollment ID: I20080327000589 |
| Provider Name | Wendy Mcfarland Cavey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770861544 PECOS PAC ID: 1557532967 Enrollment ID: I20110915000223 |
Ivy Creek Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 S Washington St, Autaugaville, AL 36003 Phone: 334-361-7316 Fax: 334-361-7858 | |
Autaugaville Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 203 N Taylor St, Autaugaville, AL 36003 Phone: 334-365-4524 Fax: 334-365-8603 |