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Contact Information

PIKE INTERNAL MEDICINE
664 VETERANS BLVD
BRUNDIDGE, AL36010
 Phone: 334-566-1270
 Fax: 334-566-1296
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PIKE INTERNAL MEDICINE · (Female)

NPI Number 1679779177
Status Active
Credentials
Entity Individual
Enumeration date 06/22/2007
Last updated 04/02/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • AL License # 00006320
  • AL Medicaid 52880960
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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