Garry W Magouirk MDPC
Organization Active NPI Family Medicine Physician · Fayette, AL
NPI 1922029263 · NPPES record last updated Feb 15, 2013
Key facts
- NPI
- 1922029263
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 00010435 (AL)
- Legal business name
- GARRY W MAGOUIRK MDPC
- Practice address
- 110 23Rd St NW
Fayette, AL 35555-1001 - Phone
- (205) 932-3891
- Fax
- (205) 932-3996
- NPI assigned
- Jul 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Garry W Magouirk, MD
- Title
- President/Ceo
- Phone
- (205) 932-3891
Practitioners 7
-
Ashley Amerson, CRNP
-
Hillary Laine Gant, CRNP
-
Jenna Clary Harkness, CRNP
-
Garry W Magouirk, MD
-
Juliet Thornton, FNP-BC
-
Lauren Leigh Haley, FNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051103001207 | AL | Part B Supplier - Clinic/Group Practice | 8628096047 |
Receives reassigned benefits from 6 practitioners Practice locations: Fayette, AL |
National Provider Directory
Locations
110 23rd St NW
Fayette, AL 35555
Phone (205) 932-3891
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 00010435 | AL | Yes |
Addresses
Primary practice location
110 23Rd St NW
Fayette, AL 35555-1001
Mailing address
110 23Rd St NW
Fayette, AL 35555-1001
Phone (205) 932-3891
Other providers in Fayette, AL
- Frederick C. Moses, O.D., P.C.
- Frederick L. Yerby, M.D., P.C.
- Freds Stores of Tennessee Inc
- Kelsey Baker Galloway
- Hillary Laine Gant
- Laura Caryn Goforth
- Gregory Chad Green, OD, PC
- Stuart Lee Griswold
- Lauren Leigh Haley
- Amanda Hanson
All providers in Fayette, AL · Family Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.