| Gary Alan Calhoun Family Practice Llc | |
|
227 Bridle Ridge Road Albertville AL 35950-9285 | |
| (256) 505-6826 | |
| (256) 582-1100 |
| Full Name | Gary Alan Calhoun Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 227 Bridle Ridge Road, Albertville, Alabama |
| Authorized Official Name and Position | Gary Alan Calhoun (PHYSICIAN) |
| Authorized Official Contact | 2565056826 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Alan Calhoun Family Practice Llc Po Box 668 P O Box 668 Albertville AL 35950-0012 Ph: (256) 505-6826 | Gary Alan Calhoun Family Practice Llc 227 Bridle Ridge Road Albertville AL 35950-9285 Ph: (256) 505-6826 |
| NPI Number | 1912068354 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 11/05/2019 |
| Medicare PECOS PAC ID | 4789603986 |
|---|---|
| Medicare Enrollment ID | O20051116001087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912068354 | NPI | - | NPPES |
| I415 | Other | AL | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 15304 (Alabama) | Primary |
| Provider Name | Gary A Calhoun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083687990 PECOS PAC ID: 2961594536 Enrollment ID: I20070828000155 |
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