| Mms Life, LLC | |
|
401 Evergreen Ave Brewton AL 36426-2066 | |
| (251) 286-8234 | |
| Not Available |
| Full Name | Mms Life, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 401 Evergreen Ave, Brewton, Alabama |
| Authorized Official Name and Position | Aaron Morgan (PHYSICIAN/SOLE MEMBER) |
| Authorized Official Contact | 2513675333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mms Life, LLC 401 Evergreen Ave Brewton AL 36426-2066 Ph: (251) 286-8234 | Mms Life, LLC 401 Evergreen Ave Brewton AL 36426-2066 Ph: (251) 286-8234 |
| NPI Number | 1053920264 |
|---|---|
| Provider Enumeration Date | 07/24/2020 |
| Last Update Date | 03/19/2024 |
| Certification Date | 03/19/2024 |
| Medicare PECOS PAC ID | 1456762699 |
|---|---|
| Medicare Enrollment ID | O20201119002361 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053920264 | NPI | - | NPPES |
| 1932391661 | Other | AL | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Aaron M Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932391661 PECOS PAC ID: 0143468306 Enrollment ID: I20140226001656 |
| Provider Name | Heather Dawn Brock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003574500 PECOS PAC ID: 8820438617 Enrollment ID: I20240520001287 |
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