| Cary Creek Medical Pc | |
|
7667 Alabama Hwy 51 Suite B Opelika AL 36804 | |
| (334) 737-5557 | |
| (334) 767-5646 |
| Full Name | Cary Creek Medical Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7667 Alabama Hwy 51 Suite B, Opelika, Alabama |
| Authorized Official Name and Position | Martin Roach (OWNER/MD) |
| Authorized Official Contact | 3347375557 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cary Creek Medical Pc 7667 Alabama Hwy 51 Suite B Opelika AL 36804 Ph: (334) 737-5557 | Cary Creek Medical Pc 7667 Alabama Hwy 51 Suite B Opelika AL 36804 Ph: (334) 737-5557 |
| NPI Number | 1265687818 |
|---|---|
| Provider Enumeration Date | 11/24/2008 |
| Last Update Date | 11/15/2023 |
| Medicare PECOS PAC ID | 1052473162 |
|---|---|
| Medicare Enrollment ID | O20081226000193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265687818 | NPI | - | NPPES |
| 51595037 | Other | AL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | DO866 (Alabama) | Primary |
| Provider Name | Martin G Roach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043316466 PECOS PAC ID: 2860469392 Enrollment ID: I20041104000809 |
| Provider Name | Keli S Holley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255771895 PECOS PAC ID: 7810131489 Enrollment ID: I20130920000550 |
| Provider Name | Katherine Allen Gamper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124417159 PECOS PAC ID: 5890006787 Enrollment ID: I20150618001928 |
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