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Organization

CENTRAL ALABAMA INTERNAL MEDICINE ASSOCIATES PA

Active
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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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