| Dmhv1st Inc | |
|
922 S Perry St Montgomery AL 36104-5022 | |
| (334) 303-0657 | |
| Not Available |
| Full Name | Dmhv1st Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 922 S Perry St, Montgomery, Alabama |
| Authorized Official Name and Position | Tisha Denise Dickson-nickson (CEO) |
| Authorized Official Contact | 3343030657 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dmhv1st Inc 922 S Perry St Montgomery AL 36104-5022 Ph: (334) 303-0657 | Dmhv1st Inc 922 S Perry St Montgomery AL 36104-5022 Ph: (334) 303-0657 |
| NPI Number | 1750906921 |
|---|---|
| Provider Enumeration Date | 06/12/2020 |
| Last Update Date | 06/12/2020 |
| Certification Date | 06/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750906921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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