| William O. Sargeant PC | |
|
1758 Park Pl Suite 100 Montgomery AL 36106-1127 | |
| (334) 265-8455 | |
| Not Available |
| Full Name | William O. Sargeant PC |
|---|---|
| Speciality | Family Medicine |
| Location | 1758 Park Pl, Montgomery, Alabama |
| Authorized Official Name and Position | William O Sargeant (PRESIDENT) |
| Authorized Official Contact | 3342658455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William O. Sargeant PC 1758 Park Pl Ste 100 Montgomery AL 36106-1133 Ph: (334) 265-8455 | William O. Sargeant PC 1758 Park Pl Suite 100 Montgomery AL 36106-1127 Ph: (334) 265-8455 |
| NPI Number | 1598827552 |
|---|---|
| Provider Enumeration Date | 12/15/2006 |
| Last Update Date | 12/03/2020 |
| Certification Date | 12/03/2020 |
| Medicare PECOS PAC ID | 2466554266 |
|---|---|
| Medicare Enrollment ID | O20070226000371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598827552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | William O Sargeant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235159435 PECOS PAC ID: 4789786575 Enrollment ID: I20070226000320 |
| Provider Name | Reagan L Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659077709 PECOS PAC ID: 3274999545 Enrollment ID: I20230512000569 |
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