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NPI Code Detail

MEDICARE: PATRICK J ONEILL M.D., P.C.

MEDICARE: PATRICK J ONEILL M.D., 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
1261QP2300XPrimary Care Clinic/Center16894AL

General Provider Information

NPI Number : 1871863050
Entity Type Code : Organization
Provider Name (Legal Business Name) : PATRICK J ONEILL M.D., P.C.
Provider Business Mailing Address
First Line : 104 SPENRYN DR
Second Line :
City : MADISON
State : AL
Zip : 35758-1890
Country : US
Telephone Number : 256-772-4300
Fax Number : 256-772-4302
Provider Business Practice Location Address
First Line : 104 SPENRYN DR
Second Line :
City : MADISON
State : AL
Zip : 35758-1890
Country : US
Telephone Number : 256-772-4300
Fax Number : 256-772-4302
Authorized Official
Title or Position : OFFICE MANAGER
Name : MR. TIERNAN ONEILL
Credential :
Telephone Number : 256-772-4300
Provider Enumeration Date : 01/05/2012
Last Update Date : 01/05/2012

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