Unknown Individual – Sports Medicine (Emergency Medicine) Physician, NPI 1427405281
Sports Medicine (Emergency Medicine) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Lakewood Drive, Carriage Hill, Phenix City, Russell County, Alabama, 36867:36870, United States
APT S4
PHENIX CITY, AL 368671867
Phone: (570) 730-8182
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 36867)
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