| Southern Care Internal Medicine Pc | |
|
10 Meadowview Dr Hoover AL 35242-7700 | |
| (205) 547-2323 | |
| (205) 995-0955 |
| Full Name | Southern Care Internal Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10 Meadowview Dr, Hoover, Alabama |
| Authorized Official Name and Position | Amy L Illescas (OWNER) |
| Authorized Official Contact | 2055472323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Care Internal Medicine Pc 10 Meadowview Dr Hoover AL 35242-7700 Ph: (205) 547-2323 | Southern Care Internal Medicine Pc 10 Meadowview Dr Hoover AL 35242-7700 Ph: (205) 547-2323 |
| NPI Number | 1881972073 |
|---|---|
| Provider Enumeration Date | 07/22/2011 |
| Last Update Date | 10/06/2023 |
| Medicare PECOS PAC ID | 2668642794 |
|---|---|
| Medicare Enrollment ID | O20110829000671 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881972073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Amy L Illescas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346269123 PECOS PAC ID: 3870575517 Enrollment ID: I20040604000910 |
| Provider Name | Shanyn Denai Wilhite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639584097 PECOS PAC ID: 8123245263 Enrollment ID: I20140813000809 |
| Provider Name | Brandie Dawn Weidman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184031346 PECOS PAC ID: 6305065475 Enrollment ID: I20140923000453 |
Skye Health Of Hoover Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3659 Lorna Rd Ste 113, Hoover, AL 35216 Phone: 205-783-5995 Fax: 205-783-5997 | |
Corelife Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3829 Lorna Rd Ste 312, Hoover, AL 35244 Phone: 205-710-2368 | |
Spectacular & Eternity Group, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 337 Linda Ave, Hoover, AL 35226 Phone: 205-422-5039 | |
Thcp Bham Al 1 Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3829 Lorna Rd, Suite 312, Hoover, AL 35244 Phone: 949-525-1069 | |
Hoover Medicine, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 774 Shades Mountain Plz, Hoover, AL 35226 Phone: 205-979-3381 | |
Focus-md Hoover Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3829 Lorna Rd Ste 328, Hoover, AL 35244 Phone: 205-968-1518 Fax: 877-385-9053 | |
One Medical Group, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4745 Chace Cir Ste 101, Hoover, AL 35244 Phone: 205-547-1850 Fax: 205-650-1932 |