| Red Mountain Wellness And Internal Medicine Pc | |
|
200 Office Park Dr Suite 201 Mountain Brk AL 35223-2418 | |
| (205) 599-4860 | |
| (205) 599-4874 |
| Full Name | Red Mountain Wellness And Internal Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 200 Office Park Dr, Mountain Brk, Alabama |
| Authorized Official Name and Position | Cecil C Dodson (MD) |
| Authorized Official Contact | 2055994860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Mountain Wellness And Internal Medicine Pc 200 Office Park Dr Suite 201 Mountain Brk AL 35223-2418 Ph: (205) 599-4860 | Red Mountain Wellness And Internal Medicine Pc 200 Office Park Dr Suite 201 Mountain Brk AL 35223-2418 Ph: (205) 599-4860 |
| NPI Number | 1821414483 |
|---|---|
| Provider Enumeration Date | 03/06/2014 |
| Last Update Date | 07/28/2014 |
| Medicare PECOS PAC ID | 5294968848 |
|---|---|
| Medicare Enrollment ID | O20140506000569 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821414483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD14090 (Alabama) | Primary |
| Provider Name | Cecil Calvert Dodson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750493482 PECOS PAC ID: 1355380197 Enrollment ID: I20110322000852 |
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