| Mobile Medicine Of Alabama | |
|
7070 Aaron Aronov Drive Suite 88 Fairfield AL 35064 | |
| (205) 678-3708 | |
| (205) 449-2066 |
| Full Name | Mobile Medicine Of Alabama |
|---|---|
| Speciality | Clinic/Center |
| Location | 7070 Aaron Aronov Drive, Fairfield, Alabama |
| Authorized Official Name and Position | Takeshia Monique Dent (DNP, MSN, CCRN, CME, FNP-C) |
| Authorized Official Contact | 2057182781 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Medicine Of Alabama 7070 Aaron Aronov Drive Suite 88 Fairfield AL 35064 Ph: (205) 678-3708 | Mobile Medicine Of Alabama 7070 Aaron Aronov Drive Suite 88 Fairfield AL 35064 Ph: (205) 678-3708 |
| NPI Number | 1053724252 |
|---|---|
| Provider Enumeration Date | 06/05/2014 |
| Last Update Date | 03/07/2016 |
| Medicare PECOS PAC ID | 7315232246 |
|---|---|
| Medicare Enrollment ID | O20160817000809 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053724252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 1-107825 (Alabama) | Primary |
| Provider Name | Takeshia Monique Dent-thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306197942 PECOS PAC ID: 8224323159 Enrollment ID: I20160817000967 |
American Family Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6554 Aaron Aronov Drive, Fairfield, AL 35064 Phone: 205-786-5022 Fax: 205-786-5028 | |
Hope Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4614 Carnegie Ave, Fairfield, AL 35064 Phone: 205-785-1353 Fax: 205-785-3731 |