| Veterans Wellness Center Of Alabama Llc | |
|
4367 Atlanta Hwy Ste C Montgomery AL 36109-3171 | |
| (443) 902-8816 | |
| (334) 323-7148 |
| Full Name | Veterans Wellness Center Of Alabama Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4367 Atlanta Hwy Ste C, Montgomery, Alabama |
| Authorized Official Name and Position | David S Graham (OWNER) |
| Authorized Official Contact | 4439028816 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Veterans Wellness Center Of Alabama Llc Po Box 240132 Montgomery AL 36124-0132 Ph: (443) 902-8816 | Veterans Wellness Center Of Alabama Llc 4367 Atlanta Hwy Ste C Montgomery AL 36109-3171 Ph: (443) 902-8816 |
| NPI Number | 1568005056 |
|---|---|
| Provider Enumeration Date | 10/28/2019 |
| Last Update Date | 03/27/2024 |
| Medicare PECOS PAC ID | 3072935782 |
|---|---|
| Medicare Enrollment ID | O20200625003233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568005056 | NPI | - | NPPES |
| Provider Name | David Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053506899 PECOS PAC ID: 6204114143 Enrollment ID: I20170504001362 |
| Provider Name | Nishant Christopher Khatri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215319447 PECOS PAC ID: 3476851494 Enrollment ID: I20180918002982 |
| Provider Name | Amirhoshang Bakhtiarydavi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053903062 PECOS PAC ID: 7113334590 Enrollment ID: I20210331001944 |
| Provider Name | Barbara E Adams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215087978 PECOS PAC ID: 0244633170 Enrollment ID: I20210729000813 |
| Provider Name | Marilyn T Caffey |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316269905 PECOS PAC ID: 9537564570 Enrollment ID: I20210830000506 |
| Provider Name | Mia Gentle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760890198 PECOS PAC ID: 1355641416 Enrollment ID: I20220330001837 |
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Aikam Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2895 Zelda Rd, Montgomery, AL 36106 Phone: 334-245-5969 | |
Stewart H. Tankersley, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 Pine St, Suite 203, Montgomery, AL 36106 Phone: 334-240-2334 | |
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