| Gateway Health Center, Llc | |
|
2165 Highway 78 103 Dora AL 35062 | |
| (205) 648-4567 | |
| Not Available |
| Full Name | Gateway Health Center, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2165 Highway 78, Dora, Alabama |
| Authorized Official Name and Position | John Pegues (OWNER) |
| Authorized Official Contact | 2056484567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Health Center, Llc 2165 Highway 78 103 Dora AL 35062 Ph: (205) 648-4567 | Gateway Health Center, Llc 2165 Highway 78 103 Dora AL 35062 Ph: (205) 648-4567 |
| NPI Number | 1699085589 |
|---|---|
| Provider Enumeration Date | 10/14/2010 |
| Last Update Date | 10/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699085589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Premier Health Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2165 Hwy 78, Suite 100, Dora, AL 35062 Phone: 205-648-4567 Fax: 205-648-4551 |