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NPI Code Detail

MEDICARE: ALABAMA DIGESTIVE DISEASES,P.C

MEDICARE: ALABAMA DIGESTIVE DISEASES,P.C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistAL

General Provider Information

NPI Number : 1538255922
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALABAMA DIGESTIVE DISEASES,P.C
Provider Business Mailing Address
First Line : 985 9TH AVE SW
Second Line : SUITE 307
City : BESSEMER
State : AL
Zip : 35022-4500
Country : US
Telephone Number : 205-481-7384
Fax Number : 205-481-7389
Provider Business Practice Location Address
First Line : 985 9TH AVE SW
Second Line : SUITE 307
City : BESSEMER
State : AL
Zip : 35022-4500
Country : US
Telephone Number : 205-481-7384
Fax Number : 205-481-7389
Authorized Official
Title or Position : VICE PRESIDENT
Name : DR. JOSEPH BUCK LUTTRELL
Credential : M.D
Telephone Number : 205-481-7384
Provider Enumeration Date : 10/05/2006
Last Update Date : 07/21/2022

Similar Medicare Providers

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Practice Location Address:
985 9TH AVE SW , SUITE 403
BESSEMER, AL
35022-4500
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1417944257 — THOMAS ANTHONY PACE MD
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985 9TH AVE SW , SUITE 309
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1013997808 — JANE ANN GEHLSEN MD
Practice Location Address:
985 9TH AVE SW , SUITE 404
BESSEMER, AL
35022-4500
Practice Phone: 205-481-8475
Practice Fax: 205-481-8478
1376658195 — MR. KERRY A PRICKETT
Practice Location Address:
985 9TH AVE SW
BESSEMER, AL
35022-4500
Practice Phone: 205-426-3784
Practice Fax: 205-426-3763
1265543482 — DR. THOMAS CARL PENDLETON M.D.
Practice Location Address:
985 9TH AVE SW , SUITE 406
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35022-4500
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1447325337 — MS. SUE ELLEN KASLAR BULLOCK MSW
Practice Location Address:
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Practice Phone: 205-425-6395
Practice Fax: 205-481-8558

Directions to “ALABAMA DIGESTIVE DISEASES,P.C ” Practice Location

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