| Central Alabama Vein & Aesthetics Llc | |
|
1450 Jones Dairy Rd Ste 400 Jasper AL 35501-6109 | |
| (205) 737-0307 | |
| Not Available |
| Full Name | Central Alabama Vein & Aesthetics Llc |
|---|---|
| Speciality | Phlebology |
| Location | 1450 Jones Dairy Rd Ste 400, Jasper, Alabama |
| Authorized Official Name and Position | Michael Solomon (DIRECTOR) |
| Authorized Official Contact | 2057370307 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Alabama Vein & Aesthetics Llc 2100 Southbridge Pkwy Ste 650 Birmingham AL 35209-1317 Ph: (205) 737-0307 | Central Alabama Vein & Aesthetics Llc 1450 Jones Dairy Rd Ste 400 Jasper AL 35501-6109 Ph: (205) 737-0307 |
| NPI Number | 1780399832 |
|---|---|
| Provider Enumeration Date | 01/23/2023 |
| Last Update Date | 04/05/2023 |
| Medicare PECOS PAC ID | 8729452834 |
|---|---|
| Medicare Enrollment ID | O20230313000548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780399832 | NPI | - | NPPES |
| Provider Name | Michael T Solomon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093924391 PECOS PAC ID: 2163513433 Enrollment ID: I20181127003004 |
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