| Tempus Primary Care, Llc | |
|
4101 Balmoral Dr Sw Ste B Huntsville AL 35801-6535 | |
| (904) 994-2865 | |
| Not Available |
| Full Name | Tempus Primary Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4101 Balmoral Dr Sw Ste B, Huntsville, Alabama |
| Authorized Official Name and Position | John David Nall (PRESIDENT) |
| Authorized Official Contact | 2565555555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tempus Primary Care, Llc 17 Legacy Oaks Pl Se Gurley AL 35748-8102 Ph: () - | Tempus Primary Care, Llc 4101 Balmoral Dr Sw Ste B Huntsville AL 35801-6535 Ph: (904) 994-2865 |
| NPI Number | 1043810195 |
|---|---|
| Provider Enumeration Date | 10/28/2020 |
| Last Update Date | 11/09/2021 |
| Medicare PECOS PAC ID | 8527457894 |
|---|---|
| Medicare Enrollment ID | O20211109000394 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043810195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jennifer L Ryder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386191914 PECOS PAC ID: 7315221843 Enrollment ID: I20170301001815 |
| Provider Name | John D Nall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285029371 PECOS PAC ID: 5294088803 Enrollment ID: I20181030000027 |
| Provider Name | Annsley Elizabeth Noterman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376938464 PECOS PAC ID: 6901192491 Enrollment ID: I20211203001460 |
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