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Organization

MEDICAL CARE ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARILYN HEPPERLE M.D., FRCP (PRES)
(334) 361-7404
Entity
Organization

Contact information

Practice address
645 MCQUEEN SMITH RD N, SUITE302, PRATTVILLE, AL 36066-7268
(334) 361-7404
(334) 361-7863
Mailing address
645 MCQUEEN SMITH RD N, SUITE302, PRATTVILLE, AL 36066-7268
(334) 361-7404
(334) 361-7863

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20750
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000038657
AL
01
04-10195
UNITED HEALTH CARE
AL
01
051038657HEP
BLUE CROSS BLUE SHEILD
AL
01
110155714
RAILROAD MEDICARE
AL
05
HE000038657
AL
Enumeration date
01/09/2007
Last updated
05/14/2008
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