| Live Clinic | |
|
7309 Us Highway 80 Hope Hull AL 36043-6825 | |
| (334) 279-8180 | |
| (334) 279-8214 |
| Full Name | Live Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 7309 Us Highway 80, Hope Hull, Alabama |
| Authorized Official Name and Position | Christopher W Daniel (CEO) |
| Authorized Official Contact | 3342798180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Clinic 7309 Us Highway 80 Hope Hull AL 36043-6825 Ph: (334) 279-8180 | Live Clinic 7309 Us Highway 80 Hope Hull AL 36043-6825 Ph: (334) 279-8180 |
| NPI Number | 1982340097 |
|---|---|
| Provider Enumeration Date | 05/11/2022 |
| Last Update Date | 05/11/2022 |
| Certification Date | 05/11/2022 |
| Medicare PECOS PAC ID | 8224416292 |
|---|---|
| Medicare Enrollment ID | O20220602002390 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982340097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Christopher W Daniel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073168191 PECOS PAC ID: 8325442254 Enrollment ID: I20210813001881 |
| Provider Name | Mitchel Daniel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366012999 PECOS PAC ID: 8325442593 Enrollment ID: I20240709002108 |