Organization
CENTRAL ALABAMA INTERNAL MEDICINE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WINSTON TACKER EDWARDS MD (PRESIDENT)
(334) 288-8405
Entity
Organization
Contact information
Practice address
2055 EAST SOUTH BLVD, SUITE 512, MONTGOMERY, AL 36116-2014
(334) 288-8405
(334) 284-2271
Mailing address
2055 EAST SOUTH BLVD, SUITE 512, MONTGOMERY, AL 36116-2014
(334) 288-8405
(334) 284-2271
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CJ3376
RAILROAD MEDICARE
—
Enumeration date
12/11/2006
Last updated
06/17/2010
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