| Family Health & Wellness Center L.l.c. | |
|
671 Snow St Oxford AL 36203-1212 | |
| (256) 454-8620 | |
| Not Available |
| Full Name | Family Health & Wellness Center L.l.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 671 Snow St, Oxford, Alabama |
| Authorized Official Name and Position | Davisson Edmond (OWNER) |
| Authorized Official Contact | 2564548620 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health & Wellness Center L.l.c. 671 Snow St Oxford AL 36203-1212 Ph: (256) 454-8620 | Family Health & Wellness Center L.l.c. 671 Snow St Oxford AL 36203-1212 Ph: (256) 454-8620 |
| NPI Number | 1407263650 |
|---|---|
| Provider Enumeration Date | 07/21/2014 |
| Last Update Date | 04/13/2015 |
| Medicare PECOS PAC ID | 4486961729 |
|---|---|
| Medicare Enrollment ID | O20150917003114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407263650 | NPI | - | NPPES |
| 141772 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD30459 (Alabama) | Primary |
| Provider Name | Davisson Jean Leandre F E Edmond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376739151 PECOS PAC ID: 2466515630 Enrollment ID: I20110104000734 |
Stringfellow Physician Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 912 Snow St, Suite B, Oxford, AL 36203 Phone: 256-831-0927 Fax: 256-831-1405 | |
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