Norman A Garrison (NPI# 1457380925, PAC ID# 3779579016) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1457380925 |
PAC ID by PECOS | 3779579016 |
Professional Enrollment ID | I20040422000863 |
Full Name | Norman A Garrison |
Address |
4725 Mobile Hwy Montgomery AL 36108-5126 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
Graduation Year | 1969 |
Primary Specialty | INTERNAL MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
010169 | ATMORE COMMUNITY HOSPITAL |
Address | Phone | Organization |
---|---|---|
401 Medical Park Dr, Atmore, AL 36502-3006 | 2513682500 | WILLIAMS STATION EMERGENCY PHYSICIANS LLC |
4725 Mobile Hwy, Montgomery, AL 36108-5126 |
Street Address |
4725 MOBILE HWY |
City | MONTGOMERY |
State | AL |
Zip | 36108-5126 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ritchelle Broadnax | Nurse Practitioner | 4215 Thornwood Dr, Montgomery, AL 36108-5047 |
City | MONTGOMERY |
Zip Code | 36108 |
Specialty | INTERNAL MEDICINE |
City + Specialty | MONTGOMERY + INTERNAL MEDICINE |
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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.