| Covid Clinic | |
|
1005 W Market St Ste 7 Athens AL 35611-2454 | |
| (256) 216-9744 | |
| Not Available |
| Full Name | Covid Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1005 W Market St Ste 7, Athens, Alabama |
| Authorized Official Name and Position | Sebrina Holt (DIRECTOR OF PHYSICIAN NETWORK) |
| Authorized Official Contact | 2562169648 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Covid Clinic 1005 W Market St Ste 7 Athens AL 35611-2454 Ph: () - | Covid Clinic 1005 W Market St Ste 7 Athens AL 35611-2454 Ph: (256) 216-9744 |
| NPI Number | 1770101990 |
|---|---|
| Provider Enumeration Date | 07/14/2020 |
| Last Update Date | 01/05/2024 |
| Medicare PECOS PAC ID | 8628493962 |
|---|---|
| Medicare Enrollment ID | O20200804002898 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770101990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jaclyn Collie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922509520 PECOS PAC ID: 2365799632 Enrollment ID: I20180717004094 |
| Provider Name | Jessica Beasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508320961 PECOS PAC ID: 1052740487 Enrollment ID: I20200406000671 |
| Provider Name | Tammy Mcwhirter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710517206 PECOS PAC ID: 4082615828 Enrollment ID: I20200930000304 |
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