Clinton Mcentyre (NPI# 1518040005, PAC ID# 7113812777) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1518040005 |
| PAC ID by PECOS | 7113812777 |
| Professional Enrollment ID | I20090716000226 |
| Full Name | Clinton Mcentyre |
| Organization Legal Name | SLCM LLC |
| Address |
4310 Watermelon Rd Northport AL 35473-5166 |
| Phone Number | 2053305266 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9830230119 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010092 | D C H REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4310 Watermelon Rd, Northport, AL 35473-5166 | 2053305266 | SLCM LLC |
| Organization Legal Name | SLCM LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy M Wyatt | Nurse Practitioner | Slcm LLC | 4310 Watermelon Rd, Northport, AL 35473-5166 |
| Scott W Kemp | Family Medicine | Slcm LLC | 4310 Watermelon Rd, Northport, AL 35473-5166 |
| Street Address |
4310 WATERMELON RD |
| City | NORTHPORT |
| State | AL |
| Zip | 35473-5166 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy M Wyatt | Nurse Practitioner | Slcm LLC | 4310 Watermelon Rd, Northport, AL 35473-5166 |
| Scott W Kemp | Family Medicine | Slcm LLC | 4310 Watermelon Rd, Northport, AL 35473-5166 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert W Eaton | Family Medicine | 5004 Hwy 69 N, Northport, AL 35473-2039 | |
| Brandi Bigham Lester | Nurse Practitioner | Dr. Robert W. Eaton, PC | 5004 Hwy 69 N, Northport, AL 35473-2039 |
| Kamal K Raisani | Psychiatry | 507 Energy Ctr Blvd, Suite 305, Northport, AL 35473-2796 | |
| Julie D Aldridge | Nurse Practitioner | Southern Np Associates LLC | 600 34th St, Northport, AL 35473-3393 |
| Rose M Betz | Optometry | Eyecare Associates, Inc. | 801 Applejack Blvd, Northport, AL 35473-3401 |
| Chrissy Meeks Manning | Optometry | Eyecare Associates, Inc. | 801 Applejack Blvd, Northport, AL 35473-3401 |
| Derek L Babin | Occupational Therapy | Tuscaloosa Rehabilitation and Hand Center, Inc | 5690 Watermelon Rd, Suite 100, Northport, AL 35473-5004 |
| Cassandra E Stanard | Physical Therapy | Tuscaloosa Rehabilitation and Hand Center, Inc | 5690 Watermelon Rd, Suite 100, Northport, AL 35473-5004 |
| Gregory R Hobbs | Physical Therapy | Tuscaloosa Rehabilitation and Hand Center, Inc | 5690 Watermelon Rd, Suite 100, Northport, AL 35473-5004 |
| Lesland K Clinner | Physical Therapy | Tuscaloosa Rehabilitation and Hand Center, Inc | 5690 Watermelon Rd, Suite 100, Northport, AL 35473-5004 |
| Find all physicians in zip 35473 | |||
| City | NORTHPORT |
| Zip Code | 35473 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NORTHPORT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Clinton Mcentyre.
| 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.