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GERIATRIC ASSOCIATES OF MONTGOMERY PC NPI 1679637912


NPI Information

NPI: 1679637912
Provider Name: GERIATRIC ASSOCIATES OF MONTGOMERY, PC
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 01D0966852

Address:
1230 CARMICHAEL WAY
MONTGOMERY, AL
ZIP 36106
Phone: (334) 277-7665
Get Directions

GERIATRIC ASSOCIATES OF MONTGOMERY, PC is a geriatric medicine family medicine in Montgomery, AL. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. GERIATRIC ASSOCIATES OF MONTGOMERY, PC NPI is 1679637912. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1230 CARMICHAEL WAY
MONTGOMERY, AL
ZIP 36106-671
Phone: (334) 277-7665
Fax: (334) 277-7142

The provider's authorized official is Joel C Bolen .
The authorized official title is President and has the following contact phone number (334) 277-7665.

The CLIA number assigned to this NPI record is 01D0966852 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/21/2006 and was last updated on 8/3/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QG0300XFamily MedicineGeriatric MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1I937MEDICARE PINALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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