| Eastern Medical Specialists, P.c. | |
|
48 Medical Park Dr E Suite 457 Birmingham AL 35235-3400 | |
| (205) 838-3800 | |
| (205) 838-3206 |
| Full Name | Eastern Medical Specialists, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 48 Medical Park Dr E, Birmingham, Alabama |
| Authorized Official Name and Position | Michelle P Ronk (PRACTICE MANAGER) |
| Authorized Official Contact | 2058383800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Medical Specialists, P.c. 48 Medical Park Dr E Suite 457 Birmingham AL 35235-3400 Ph: (205) 838-3800 | Eastern Medical Specialists, P.c. 48 Medical Park Dr E Suite 457 Birmingham AL 35235-3400 Ph: (205) 838-3800 |
| NPI Number | 1053302497 |
|---|---|
| Provider Enumeration Date | 11/03/2005 |
| Last Update Date | 05/01/2008 |
| Medicare PECOS PAC ID | 1355233529 |
|---|---|
| Medicare Enrollment ID | O20040325000404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053302497 | NPI | - | NPPES |
| 529302120 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Secondary |
| Provider Name | Gilbert F Douglas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881865103 PECOS PAC ID: 4183702632 Enrollment ID: I20080423000596 |
| Provider Name | Jennifer S White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366423584 PECOS PAC ID: 8820124001 Enrollment ID: I20100326000488 |
| Provider Name | William E Wilcox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497746846 PECOS PAC ID: 3072405158 Enrollment ID: I20100330001009 |
| Provider Name | Darla M Higginbotham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689121170 PECOS PAC ID: 3274829437 Enrollment ID: I20160914001733 |
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