| Norman D. Ervin, M.d., P.c. | |
|
101 Bob Wallace Ave Sw Suite B Huntsville AL 35801-3847 | |
| (256) 533-2303 | |
| Not Available |
| Full Name | Norman D. Ervin, M.d., P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 101 Bob Wallace Ave Sw, Huntsville, Alabama |
| Authorized Official Name and Position | Norman Duane Ervin (PRESIDENT) |
| Authorized Official Contact | 2565332303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Norman D. Ervin, M.d., P.c. 101 Bob Wallace Ave Sw Suite B Huntsville AL 35801-3847 Ph: (256) 533-2303 | Norman D. Ervin, M.d., P.c. 101 Bob Wallace Ave Sw Suite B Huntsville AL 35801-3847 Ph: (256) 533-2303 |
| NPI Number | 1053637348 |
|---|---|
| Provider Enumeration Date | 04/13/2010 |
| Last Update Date | 04/13/2010 |
| Medicare PECOS PAC ID | 1850429994 |
|---|---|
| Medicare Enrollment ID | O20100511000050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053637348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 10392 (Alabama) | Primary |
| Provider Name | Norman Duane Ervin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821089012 PECOS PAC ID: 6305974445 Enrollment ID: I20100511000062 |
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