Barbara C Favreau (NPI# 1962649574, PAC ID# 1658420724) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1962649574 |
PAC ID by PECOS | 1658420724 |
Professional Enrollment ID | I20090520000101 |
Full Name | Barbara C Favreau |
Organization Legal Name | GMUC OF CITRONELLE LLC |
Address |
19355 N 3rd St Suite 104 Citronelle AL 36522-2049 |
Phone Number | 2516330123 |
Gender | F |
Medical School | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
Graduation Year | 2008 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 8426210014 |
Number of Group Practice Members | 20 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
19355 N 3rd St, Suite 104, Citronelle, AL 36522-2049 | 2516330123 | GMUC OF CITRONELLE LLC |
103 W Frontage Rd, Suite C, Lucedale, MS 39452-5836 | 2516330123 | GMUC OF LUCEDALE PC |
Organization Legal Name | GMUC OF CITRONELLE LLC |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Harmony B Paschal | Physician Assistant | Gmuc of Citronelle LLC | 19355 N 3rd St, Suite 104, Citronelle, AL 36522-2049 |
Christopher J Frailie | Emergency Medicine | Gmuc of Citronelle LLC | 19355 N 3rd St, Suite 104, Citronelle, AL 36522-2049 |
Joshua G Pyeatt | Physician Assistant | Gmuc of Citronelle LLC | 19355 N 3rd St, Suite 104, Citronelle, AL 36522-2049 |
Street Address |
19355 N 3RD ST SUITE 104 |
City | CITRONELLE |
State | AL |
Zip | 36522-2049 |
Name | Specialty | Organization | Address |
---|---|---|---|
Harmony B Paschal | Physician Assistant | Gmuc of Citronelle LLC | 19355 N 3rd St, Suite 104, Citronelle, AL 36522-2049 |
Christopher J Frailie | Emergency Medicine | Gmuc of Citronelle LLC | 19355 N 3rd St, Suite 104, Citronelle, AL 36522-2049 |
Joshua G Pyeatt | Physician Assistant | Gmuc of Citronelle LLC | 19355 N 3rd St, Suite 104, Citronelle, AL 36522-2049 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stephen B Chromiak | Family Medicine | Mobile County Board of Health | 19250 N Mobile St, Citronelle, AL 36522-2122 |
Raquel Coleman King | Nurse Practitioner | Mobile County Board of Health | 19250 N Mobile St, Citronelle, AL 36522-2122 |
Emily Anne Gurganus | Nurse Practitioner | Mobile County Board of Health | 19250 N Mobile St, Citronelle, AL 36522-2122 |
Leticia Monique Gibbs | Nurse Practitioner | Mobile County Board of Health | 19250 N Mobile St, Citronelle, AL 36522-2122 |
Phillip R Stover | Pediatric Medicine | Mobile County Board of Health | 19250 N Mobile St, Citronelle, AL 36522-2122 |
Brittany L Barnes | Family Medicine | Alabama Providence Healthcare Services | 19140 S 3rd St, Citronelle, AL 36522-2306 |
Karen L Jimenez | Internal Medicine | Alabama Providence Healthcare Services | 19140 S 3rd St, Citronelle, AL 36522-2306 |
Rhonda Mcgrew | Nurse Practitioner | Alabama Providence Healthcare Services | 19140 S 3rd St, Citronelle, AL 36522-2306 |
City | CITRONELLE |
Zip Code | 36522 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | CITRONELLE + PHYSICIAN ASSISTANT |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.