| Fm Clinic Llc | |
|
1490 Highway 72 E Huntsville AL 35811-1508 | |
| (256) 428-2615 | |
| Not Available |
| Full Name | Fm Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1490 Highway 72 E, Huntsville, Alabama |
| Authorized Official Name and Position | Muhammad Aly (OWNER) |
| Authorized Official Contact | 2563619894 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fm Clinic Llc Po Box 11023 Huntsville AL 35814-1023 Ph: (256) 361-9894 | Fm Clinic Llc 1490 Highway 72 E Huntsville AL 35811-1508 Ph: (256) 428-2615 |
| NPI Number | 1902402886 |
|---|---|
| Provider Enumeration Date | 12/07/2020 |
| Last Update Date | 04/17/2025 |
| Medicare PECOS PAC ID | 8729490966 |
|---|---|
| Medicare Enrollment ID | O20201214000536 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902402886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Muhammad Aly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093118796 PECOS PAC ID: 6305131913 Enrollment ID: I20160822001709 |
| Provider Name | Tracy S Yandric |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154820736 PECOS PAC ID: 3870827017 Enrollment ID: I20190621002707 |
| Provider Name | Katherine Woolf Guimarin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316696628 PECOS PAC ID: 6305201732 Enrollment ID: I20230508001524 |
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