| Providence Medical Group - Fairhope | |
|
411 N Section St Fairhope AL 36532-2649 | |
| (251) 342-3949 | |
| Not Available |
| Full Name | Providence Medical Group - Fairhope |
|---|---|
| Speciality | Family Medicine |
| Location | 411 N Section St, Fairhope, Alabama |
| Authorized Official Name and Position | Todd Kennedy (PRESIDENT) |
| Authorized Official Contact | 2516331000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Medical Group - Fairhope Po Box 850489 Mobile AL 36685-0489 Ph: (251) 342-3949 | Providence Medical Group - Fairhope 411 N Section St Fairhope AL 36532-2649 Ph: (251) 342-3949 |
| NPI Number | 1316464183 |
|---|---|
| Provider Enumeration Date | 08/23/2017 |
| Last Update Date | 08/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316464183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Self Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 306 S Greeno Rd, Suite A, Fairhope, AL 36532 Phone: 251-928-8760 Fax: 251-928-7028 | |
Prestige Telemedicine Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Cumberland Rd, Fairhope, AL 36532 Phone: 251-517-4411 | |
Infiniti Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 306 Saint Charles Ct, Fairhope, AL 36532 Phone: 888-212-4243 | |
Fulton G. De Four, Md, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 750 Morphy Ave, Fairhope, AL 36532 Phone: 251-752-8235 | |
Baldwin Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21950 State Highway 181 Ste A, Fairhope, AL 36532 Phone: 251-621-6520 Fax: 251-621-6521 | |
Self And Self Company, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 306 Greeno Rd S, Suite A, Fairhope, AL 36532 Phone: 251-928-8760 Fax: 251-928-7028 | |
Shehryar Anjum, Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 Morphy Ave, Fairhope, AL 36532 Phone: 251-928-2375 |