| Physician Medical Center, Llc | |
|
1600 Carraway Blvd Birmingham AL 35234 | |
| (205) 502-5610 | |
| (205) 502-5513 |
| Full Name | Physician Medical Center, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1600 Carraway Blvd, Birmingham, Alabama |
| Authorized Official Name and Position | Jan Dicesare (CFO) |
| Authorized Official Contact | 2055026111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Medical Center, Llc Po Box 10288 Birmingham AL 35202-0288 Ph: (205) 502-5610 | Physician Medical Center, Llc 1600 Carraway Blvd Birmingham AL 35234 Ph: (205) 502-5610 |
| NPI Number | 1114119567 |
|---|---|
| Provider Enumeration Date | 08/09/2007 |
| Last Update Date | 08/09/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114119567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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