| Diabetes And Wellness Clinic Of The Shoals | |
|
1110 E 6th St Suite E Muscle Shoals AL 35661 | |
| (256) 856-4059 | |
| Not Available |
| Full Name | Diabetes And Wellness Clinic Of The Shoals |
|---|---|
| Speciality | Clinic/Center |
| Location | 1110 E 6th St Suite E, Muscle Shoals, Alabama |
| Authorized Official Name and Position | Thaddeus Jason Boughton (OWNER) |
| Authorized Official Contact | 2568564059 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetes And Wellness Clinic Of The Shoals 114 Chappell Rd Muscle Shoals AL 35661-3650 Ph: () - | Diabetes And Wellness Clinic Of The Shoals 1110 E 6th St Suite E Muscle Shoals AL 35661 Ph: (256) 856-4059 |
| NPI Number | 1255892865 |
|---|---|
| Provider Enumeration Date | 03/27/2019 |
| Last Update Date | 03/27/2019 |
| Medicare PECOS PAC ID | 8527394626 |
|---|---|
| Medicare Enrollment ID | O20190726002747 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255892865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Thaddeus Boughton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043553357 PECOS PAC ID: 0345476123 Enrollment ID: I20131127000458 |
| Provider Name | Muhammad Husainy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639332273 PECOS PAC ID: 4789734351 Enrollment ID: I20141031002163 |
Family Health Care Clinic, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 102 Physicians Dr, Suite B, Muscle Shoals, AL 35661 Phone: 601-825-7280 Fax: 601-825-8130 | |
Shoals Hospital - Crna Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 Avalon Ave, Muscle Shoals, AL 35661 Phone: 256-768-9191 Fax: 256-768-9775 | |
Options Wellness Center, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1005 Avalon Ave, Muscle Shoals, AL 35661 Phone: 256-978-5740 Fax: 256-978-5774 | |
Shoals Health Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 203 Avalon Ave, Muscle Shoals, AL 35661 Phone: 256-718-4041 | |
Dr. Terry J. True Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 104a Physicians Dr, Muscle Shoals, AL 35661 Phone: 256-383-6070 Fax: 256-381-4022 | |
Red Bay Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14490 County Line Road, Suite A, Muscle Shoals, AL 35661 Phone: 256-661-2078 | |
Shoals Hospital - Ekg Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Avalon Ave, Muscle Shoals, AL 35661 Phone: 256-768-9191 Fax: 256-768-9775 |