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440 Taylor Rd Suite 3380 Montgomery AL 36117-3588 | |
(334) 213-6287 | |
(334) 213-6288 |
Full Name | |
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Speciality | Family Medicine |
Location | 440 Taylor Rd, Montgomery, Alabama |
Authorized Official Name and Position | Christine Elizabeth Bruton (CFO) |
Authorized Official Contact | 3342734258 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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440 Taylor Rd Suite 3380 Montgomery AL 36117-3588 Ph: (334) 211-3628 | 440 Taylor Rd Suite 3380 Montgomery AL 36117-3588 Ph: (334) 213-6287 |
NPI Number | 1326182486 |
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Provider Enumeration Date | 02/20/2007 |
Last Update Date | 04/09/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326182486 | NPI | - | NPPES |
CE1792 | Other | AL | RAILROAD ROAD MEDICARE |
529932869 | Medicaid | AL | |
0113048 | Other | AL | UNITED HEALTHCARE |
G478 | Other | AL | MEDICARE GROUP PROVIDER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Your Doctor's Office, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8630 Vaughn Rd, Montgomery, AL 36117 Phone: 334-676-4076 Fax: 334-676-4064 | |
Aikam Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2895 Zelda Rd, Montgomery, AL 36106 Phone: 334-245-5969 | |