| Dr Tamara Mcintosh Llc | |
|
1410 Al Highway 144 Ohatchee AL 36271-7887 | |
| (256) 892-2121 | |
| (256) 892-3733 |
| Full Name | Dr Tamara Mcintosh Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1410 Al Highway 144, Ohatchee, Alabama |
| Authorized Official Name and Position | Tamara Mcintosh (OWNER PHYSICIAN) |
| Authorized Official Contact | 2568922121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tamara Mcintosh Llc 1410 Al Hwy 144 Ohatchee AL 36271-7887 Ph: (256) 892-2121 | Dr Tamara Mcintosh Llc 1410 Al Highway 144 Ohatchee AL 36271-7887 Ph: (256) 892-2121 |
| NPI Number | 1467549147 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 04/20/2008 |
| Medicare PECOS PAC ID | 9436158391 |
|---|---|
| Medicare Enrollment ID | O20061204000546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467549147 | NPI | - | NPPES |
| 51538228 | Other | AL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20130 (Alabama) | Primary |
| Provider Name | Tamara A Mcintosh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538269816 PECOS PAC ID: 4082613948 Enrollment ID: I20061204000536 |
| Provider Name | Chelsea K Popp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306338298 PECOS PAC ID: 9931456761 Enrollment ID: I20180724003732 |