Organization
PIKE INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL DICHIARA (SECRETARY)
(334) 566-1270
Entity
Organization
Contact information
Practice address
664 VETERANS BLVD, BRUNDIDGE, AL 36010
(334) 566-1270
(334) 566-1296
Mailing address
1350 HWY 231 SO, TROY, AL 36081
(334) 566-1270
(334) 566-1296
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00006320
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52880960
—
AL
Enumeration date
06/22/2007
Last updated
04/02/2008
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