| Temple Medical Clinic, Pc | |
|
859 Airport Drive Alexander City AL 35010-3443 | |
| (256) 234-4295 | |
| (256) 329-1024 |
| Full Name | Temple Medical Clinic, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 859 Airport Drive, Alexander City, Alabama |
| Authorized Official Name and Position | James Pitts Temple (PRESIDENT) |
| Authorized Official Contact | 2562344295 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Temple Medical Clinic, Pc 859 Airport Drive Alexander City AL 35010-3443 Ph: (256) 234-4295 | Temple Medical Clinic, Pc 859 Airport Drive Alexander City AL 35010-3443 Ph: (256) 234-4295 |
| NPI Number | 1477629434 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 11/07/2011 |
| Medicare PECOS PAC ID | 3971523457 |
|---|---|
| Medicare Enrollment ID | O20051129000613 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477629434 | NPI | - | NPPES |
| CG2343 | Other | AL | MEDICARE TRAVELERS |
| 529703750 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Vincent Law |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700952751 PECOS PAC ID: 5698814408 Enrollment ID: I20100125000323 |
| Provider Name | Timothy J Corbin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013083062 PECOS PAC ID: 4789723594 Enrollment ID: I20100210000556 |
| Provider Name | Monica A Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124661954 PECOS PAC ID: 1355735598 Enrollment ID: I20220303001461 |
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