Organization
NORTH ALABAMA PRIMARY CARE,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANDRA S KONERU MD (PHYSICIAN)
(256) 232-2505
Entity
Organization
Contact information
Practice address
1015 HIGHWAY 72 EAST, SUITE 1, ATHENS, AL 35611
(256) 232-2505
(256) 230-3226
Mailing address
1015 HIGHWAY 72 EAST, SUITE 1, ATHENS, AL 35611
(256) 232-2505
(256) 230-3226
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CI3887
RAILROAD MEDICARE
AL
Enumeration date
05/25/2007
Last updated
03/14/2008
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