Unknown Individual – Aerospace Medicine Physician, NPI 1962635771
Aerospace Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1330 HIGHWAY 14 E UNIT 101
PRATTVILLE, AL 360665700
Phone: (765) 532-0203
Type: Mailing
420 POLIFKA DR
SHAW AFB, SC 29152
Phone: (803) 895-6746
Type: Location
300 S Twining St Bldg 760
Maxwell AFB, AL 361126027
Phone: (334) 953-5273
Fax: (334) 953-5201
Type: Location
420 Polifka Dr
Shaw AFB, SC 29152
Phone: (803) 895-6746
Type: Location
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 36066)
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