| Enmpc | |
|
100 Medical Center Dr Suite 305 Gadsden AL 35903-1134 | |
| (256) 494-0990 | |
| (256) 494-0948 |
| Full Name | Enmpc |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Medical Center Dr, Gadsden, Alabama |
| Authorized Official Name and Position | Dominic F Homan (PRESIDENT) |
| Authorized Official Contact | 2564940990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Enmpc 100 Medical Center Dr Suite 305 Gadsden AL 35903-1134 Ph: (256) 494-0990 | Enmpc 100 Medical Center Dr Suite 305 Gadsden AL 35903-1134 Ph: (256) 494-0990 |
| NPI Number | 1336209246 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5496648347 |
|---|---|
| Medicare Enrollment ID | O20040204000713 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336209246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 00022313 (Alabama) | Primary |
| Provider Name | Lianke Mu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1700847720 PECOS PAC ID: 1153214051 Enrollment ID: I20040204000963 |
| Provider Name | Dominic F Homan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1982665980 PECOS PAC ID: 2365335262 Enrollment ID: I20040204001026 |
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