| The Florence Endocrine Clinic A Professional Limited Liability Company | |
|
153 Ana Dr Florence AL 35630-1731 | |
| (256) 284-7280 | |
| (256) 284-7284 |
| Full Name | The Florence Endocrine Clinic A Professional Limited Liability Company |
|---|---|
| Speciality | Internal Medicine |
| Location | 153 Ana Dr, Florence, Alabama |
| Authorized Official Name and Position | Bethany Jackson (PRESIDENT) |
| Authorized Official Contact | 2562847280 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Florence Endocrine Clinic A Professional Limited Liability Company Po Box 490 Florence AL 35631-0490 Ph: (256) 284-7280 | The Florence Endocrine Clinic A Professional Limited Liability Company 153 Ana Dr Florence AL 35630-1731 Ph: (256) 284-7280 |
| NPI Number | 1750749628 |
|---|---|
| Provider Enumeration Date | 02/05/2016 |
| Last Update Date | 02/11/2020 |
| Medicare PECOS PAC ID | 5092014639 |
|---|---|
| Medicare Enrollment ID | O20160503000412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750749628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Bethany A Jackson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1750517835 PECOS PAC ID: 9638393440 Enrollment ID: I20140618001342 |
| Provider Name | Erica L Conley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972919165 PECOS PAC ID: 4284931494 Enrollment ID: I20180803001262 |
| Provider Name | John Ruck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336688456 PECOS PAC ID: 8527335694 Enrollment ID: I20200710000174 |
| Provider Name | Hannah Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881342889 PECOS PAC ID: 7517344534 Enrollment ID: I20220525000426 |
| Provider Name | Bryan Benjamin Grissett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346747276 PECOS PAC ID: 9436480563 Enrollment ID: I20230508000275 |
| Provider Name | Mackensley Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104668797 PECOS PAC ID: 3476084229 Enrollment ID: I20241003001633 |
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