| Cahaba Concierge Medicine, Llc | |
|
8011 Liberty Pkwy Ste 101 Vestavia AL 35242-7670 | |
| (205) 255-4024 | |
| Not Available |
| Full Name | Cahaba Concierge Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 8011 Liberty Pkwy Ste 101, Vestavia, Alabama |
| Authorized Official Name and Position | Katherine Alford Moore (PHYSICIAN OWNER) |
| Authorized Official Contact | 2059685988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cahaba Concierge Medicine, Llc 8011 Liberty Pkwy Ste 101 Vestavia AL 35242-7670 Ph: () - | Cahaba Concierge Medicine, Llc 8011 Liberty Pkwy Ste 101 Vestavia AL 35242-7670 Ph: (205) 255-4024 |
| NPI Number | 1831764984 |
|---|---|
| Provider Enumeration Date | 05/21/2021 |
| Last Update Date | 05/21/2021 |
| Medicare PECOS PAC ID | 8628477361 |
|---|---|
| Medicare Enrollment ID | O20210528000827 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831764984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Katherine Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831364611 PECOS PAC ID: 1557415304 Enrollment ID: I20090813000644 |
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