Timothy H Real Md Llc | |
4704 Cahaba River Rd Suite 1a Birmingham AL 35243-2344 | |
(205) 313-6894 | |
(205) 313-6897 |
Full Name | Timothy H Real Md Llc |
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Speciality | Clinic/Center |
Location | 4704 Cahaba River Rd, Birmingham, Alabama |
Authorized Official Name and Position | Timothy H Real (PRESIDENT) |
Authorized Official Contact | 2053136894 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Timothy H Real Md Llc 4704 Cahaba River Rd Suite 1a Birmingham AL 35243-2344 Ph: (205) 313-6894 | Timothy H Real Md Llc 4704 Cahaba River Rd Suite 1a Birmingham AL 35243-2344 Ph: (205) 313-6894 |
NPI Number | 1043596117 |
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Provider Enumeration Date | 11/02/2011 |
Last Update Date | 02/04/2025 |
Medicare PECOS PAC ID | 1153588686 |
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Medicare Enrollment ID | O20120210000175 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043596117 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Timothy H Real |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1558470500 PECOS PAC ID: 1153337233 Enrollment ID: I20100903000313 |
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