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Alabama Medicaid Agency Delivering Healthcare Provider List Maternity Care Services April 2018 County Code/Description Name Complete Street Address City/State/ Zip Phone Number 01 - Autauga KEITH C MARTIN 630 MCQUEEN SMITH RD N PRATTVILLE,AL 36066-7511 3343656088 02 - Baldwin RICHARD A ROH 150 S INGLESIDE ST STE 6 FAIRHOPE,AL 36532-1804 2519281222 CHARLES ROGERS IV 2002 MEDICAL CENTER DR BAY MINETTE,AL 36507-4163 2519375377 JESSICA L JONES 188 HOSPITAL DR STE 304 FAIRHOPE,AL 36532-2018 2519901950 MARLA J GLEASON 2001 MEDICAL CENTER DR BAY MINETTE,AL 36507-4163 2519377016 GARY W NELSON 150 S INGLESIDE STE 6 FAIRHOPE,AL 36532-1804 2519281222 AHMET HELVACIOGLU 25 SPRING RUN DR FAIRHOPE,AL 36532-1925 2519280102 JEFFERY ELLIS 2002 MEDICAL CENTER DR BAY MINETTE,AL 36507-4163 2519375377 NICOLE ARTHUR 2002 MEDICAL CENTER DR BAY MINETTE,AL 36507-4163 2519375377 AMY M MCCOY 2002 MEDICAL CENTER DR BAY MINETTE,AL 36507-4163 2519375377 ESTHER L DAVIS 1620 N MCKENZIE STREET FOLEY,AL 36535-2248 2519432141 RICHARD C BROWN, JR. 1620 N MCKENZIE ST FOLEY,AL 36535-2248 2519432141 QUIN A BIXLER 2002 MEDICAL CENTER DR BAY MINETTE,AL 36507-4163 2519375377 BASSAM H RIMAWI 188 HOSPITAL DRIVE FAIRHOPE,AL 36532-2018 2514151496 DYLAN R WELLS SR 150 SOUTH INGLESIDE AVE #6 FAIRHOPE,AL 36532-1804 2519281545 MARY D WELLS 150 SOUTH INGLESIDE AVE 6 FAIRHOPE,AL 36532-1804 2519281545 LESLIE L EVANS 150 S INGLESIDE #6 FAIRHOPE,AL 36532-1804 2519281222 LINDSEY M MCALPIN 1620 N MCKENZIE ST FOLEY,AL 36535-2248 2519432141 JENNIFER Y PIERCE 1047 FAIRHOPE AVE FAIRHOPE,AL 36532-8318 2519901850 MICHAEL A FINAN 1047 FAIRHOPE AVE. FAIRHOPE,AL 36532-2018 2519901850 BRIAN E BROCATO 188 HOSPITAL DRIVESTE 204 MOBILE,AL 36532-2018 2514151496 GEORGE FAHY 2004 MEDICAL CENTER DRIVE BAY MINETTE,AL 36507-4163 2519372380 COREY D JACOBS 1506 N MCKENZIE ST STE 104 FOLEY,AL 36535-2264 2514241100 COREY D JACOBS 619 E LAUREL AVE FOLEY,AL 36535-3301 2519433351 HELEN ROGERS 2002 MEDICAL CENTER DR BAY MINETTE,AL 36507-4163 2519375377 VICKY GRIFFIN 2002 MEDICAL CENTER DR BAY MINETTE,AL 36507-4163 2519375377 JENNIFER M SCALICI 1047 FAIRHOPE AVE. FAIRHOPE,AL 36532-3145 2519901850 BRITTNEY LAUGHLIN 2002 MEDICAL CENTER DR BAY MINETTE,AL 36507-4163 2519365377 MARSHALL D SHOEMAKER 188 HOSPITAL DR STE 304 FAIRHOPE,AL 36532-2018 2519901950 BRET T HENDERSON 150 SOUTH INGLESIDE STSTE 2 FAIRHOPE,AL 36532-1804 2519906550 JAMES D WEST 1628 N MCKENZIE ST. STE 102 FOLEY,AL 36535-2275 2519471083 JAMES D WEST JR 1430 N MCKENZIE STREET FOLEY,AL 36535-2234 2519702229 JENNIFER A CUNNINGHAM 2002 MEDICAL CENTER DR BAY MINETTE,AL 36507-4163 2519375377 FRED F DIEGMANN 150 SOUTH INGLESIDE STSTE 2 FAIRHOPE,AL 36532-1804 2519906550 RODNEY P ROCCONI 1047 FAIRHOPE AVE. FAIRHOPE,AL 36532-2018 2519901850 DENNIS W MCNALLY 1620 N MCKENZIE ST FOLEY,AL 36535-2248 2519432141 DAVID C CARPENTER 2002 MEDICAL CENTER DR BAY MINETTE,AL 36507-4163 2519375377 BENJAMIN STALNAKER 101 E 15TH AVE GULF SHORES,AL 36542-3501 2519621250 BENJAMIN STALNAKER 21141 STATE HIGHWAY 59SUITE 1 ROBERTSDALE,AL 36567-6740 2514241160 JAMES BENTLEY 2002 MEDICAL CENTER DR BAY MINETTE,AL 36507-4163 2519375377
Transcript
Page 1: Alabama Medicaid Agency Delivering Healthcare Provider ...medicaid.alabama.gov/documents/5.0_Managed_Care/5... · francois m blaudeau 108 medical center dr clanton,al 35045-2332 2059860080

Alabama Medicaid Agency Delivering Healthcare Provider List

Maternity Care ServicesApril 2018

County Code/Description Name Complete Street Address City/State/ Zip Phone Number

01 - Autauga KEITH C MARTIN 630 MCQUEEN SMITH RD N PRATTVILLE,AL 36066-7511 3343656088

02 - Baldwin RICHARD A ROH 150 S INGLESIDE ST STE 6 FAIRHOPE,AL 36532-1804 2519281222

CHARLES ROGERS IV 2002 MEDICAL CENTER DR BAY MINETTE,AL 36507-4163 2519375377

JESSICA L JONES 188 HOSPITAL DR STE 304 FAIRHOPE,AL 36532-2018 2519901950

MARLA J GLEASON 2001 MEDICAL CENTER DR BAY MINETTE,AL 36507-4163 2519377016

GARY W NELSON 150 S INGLESIDE STE 6 FAIRHOPE,AL 36532-1804 2519281222

AHMET HELVACIOGLU 25 SPRING RUN DR FAIRHOPE,AL 36532-1925 2519280102

JEFFERY ELLIS 2002 MEDICAL CENTER DR BAY MINETTE,AL 36507-4163 2519375377

NICOLE ARTHUR 2002 MEDICAL CENTER DR BAY MINETTE,AL 36507-4163 2519375377

AMY M MCCOY 2002 MEDICAL CENTER DR BAY MINETTE,AL 36507-4163 2519375377

ESTHER L DAVIS 1620 N MCKENZIE STREET FOLEY,AL 36535-2248 2519432141

RICHARD C BROWN, JR. 1620 N MCKENZIE ST FOLEY,AL 36535-2248 2519432141

QUIN A BIXLER 2002 MEDICAL CENTER DR BAY MINETTE,AL 36507-4163 2519375377

BASSAM H RIMAWI 188 HOSPITAL DRIVE FAIRHOPE,AL 36532-2018 2514151496

DYLAN R WELLS SR 150 SOUTH INGLESIDE AVE #6 FAIRHOPE,AL 36532-1804 2519281545

MARY D WELLS 150 SOUTH INGLESIDE AVE 6 FAIRHOPE,AL 36532-1804 2519281545

LESLIE L EVANS 150 S INGLESIDE #6 FAIRHOPE,AL 36532-1804 2519281222

LINDSEY M MCALPIN 1620 N MCKENZIE ST FOLEY,AL 36535-2248 2519432141

JENNIFER Y PIERCE 1047 FAIRHOPE AVE FAIRHOPE,AL 36532-8318 2519901850

MICHAEL A FINAN 1047 FAIRHOPE AVE. FAIRHOPE,AL 36532-2018 2519901850

BRIAN E BROCATO 188 HOSPITAL DRIVE STE 204 MOBILE,AL 36532-2018 2514151496

GEORGE FAHY 2004 MEDICAL CENTER DRIVE BAY MINETTE,AL 36507-4163 2519372380

COREY D JACOBS 1506 N MCKENZIE ST STE 104 FOLEY,AL 36535-2264 2514241100

COREY D JACOBS 619 E LAUREL AVE FOLEY,AL 36535-3301 2519433351

HELEN ROGERS 2002 MEDICAL CENTER DR BAY MINETTE,AL 36507-4163 2519375377

VICKY GRIFFIN 2002 MEDICAL CENTER DR BAY MINETTE,AL 36507-4163 2519375377

JENNIFER M SCALICI 1047 FAIRHOPE AVE. FAIRHOPE,AL 36532-3145 2519901850

BRITTNEY LAUGHLIN 2002 MEDICAL CENTER DR BAY MINETTE,AL 36507-4163 2519365377

MARSHALL D SHOEMAKER 188 HOSPITAL DR STE 304 FAIRHOPE,AL 36532-2018 2519901950

BRET T HENDERSON 150 SOUTH INGLESIDE ST STE 2 FAIRHOPE,AL 36532-1804 2519906550

JAMES D WEST 1628 N MCKENZIE ST. STE 102 FOLEY,AL 36535-2275 2519471083

JAMES D WEST JR 1430 N MCKENZIE STREET FOLEY,AL 36535-2234 2519702229

JENNIFER A CUNNINGHAM 2002 MEDICAL CENTER DR BAY MINETTE,AL 36507-4163 2519375377

FRED F DIEGMANN 150 SOUTH INGLESIDE ST STE 2 FAIRHOPE,AL 36532-1804 2519906550

RODNEY P ROCCONI 1047 FAIRHOPE AVE. FAIRHOPE,AL 36532-2018 2519901850

DENNIS W MCNALLY 1620 N MCKENZIE ST FOLEY,AL 36535-2248 2519432141

DAVID C CARPENTER 2002 MEDICAL CENTER DR BAY MINETTE,AL 36507-4163 2519375377

BENJAMIN STALNAKER 101 E 15TH AVE GULF SHORES,AL 36542-3501 2519621250

BENJAMIN STALNAKER 21141 STATE HIGHWAY 59 SUITE 1 ROBERTSDALE,AL 36567-6740 2514241160

JAMES BENTLEY 2002 MEDICAL CENTER DR BAY MINETTE,AL 36507-4163 2519375377

Page 2: Alabama Medicaid Agency Delivering Healthcare Provider ...medicaid.alabama.gov/documents/5.0_Managed_Care/5... · francois m blaudeau 108 medical center dr clanton,al 35045-2332 2059860080

Alabama Medicaid Agency Delivering Healthcare Provider List

Maternity Care ServicesApril 2018

THEODORE CATRANIS 2002 MEDICAL CENTER DR BAY MINETTE,AL 36507-4163 2519375377

RICHARD OTTS 2002 MEDICAL CENTER DR BAY MINETTE,AL 36507-4163 2519375377JUDY D CORBETT 1506 N MCKENZIE ST STE 104 FOLEY,AL 36535-2264 2514241100

03 - Barbour AUGUSTUS SAVILLE JR 324 MACON AVENUE EUFAULA,AL 36027-1810 3346877372

ROWELL ASHFORD 294 PIERSON AVE CENTREVILLE,AL 35042-0000 2059262992

ROWELL ASHFORD 405 BELCHER ST CENTREVILLE,AL 35042-2946 2059262992JOHN B WAITS 195 HOSPITAL DR CENTREVILLE,AL 35042-2935 2059262992

05 - Blount AKILA SUBRAMANIAM 1001 LINCOLN AVE ONEONTA,AL 35121-2533 2052742120

07 - Butler WINSTON M ASHURST 321 GREENVILLE BYP STE 4 GREENVILLE,AL 36037-3758 3342904200

LARRY B RICHMOND 731 LEIGHTON AVE STE 401 ANNISTON,AL 36207-5766 2564352229

JEFFREY W COLLINS 901 LEIGHTON AVE STE 704 ANNISTON,AL 36207-5721 2562355015

CYNTHIA M GOLDSMITH-FLETCHER 901 LEIGHTON AVE STE 501 ANNISTON,AL 36207-5765 2562376755

LAWRENCE R JONES 901 LEIGHTON AVE STE 501 ANNISTON,AL 36207-5765 2562376755

JACQULINE TESSEN 1010 CHRISTINE AVE ANNISTON,AL 36207-5782 2562365631

BARBARA L MOERSCH 825 KEITH AVE ANNISTON,AL 36207-4760 2562380448

JAMES S DANIEL 721 E 10TH ST ANNISTON,AL 36207-4755 2562369995

JOHNNY SHAN YOUNG 409 E 10TH ST STE 300 ANNISTON,AL 36207-4781 2564351399

JOSHUA B JOHANNSON 1420 LEIGHTON AVE ANNISTON,AL 36207-3827 2562410885

J PATRICK STEWART 901 LEIGHTON AVE STE 501 ANNISTON,AL 36207-5765 2562376755

LUCY K BALLARD 901 LEIGHTON AVENUE SUITE 501 ANNISTON,AL 36207-5765 2562376755CYNTHIA S CATER 901 LEIGHTON AVE STE 501 ANNISTON,AL 36207-5765 2562376755

GEORGE M ZAHARIAS 1320 WOODFIN LN CLANTON,AL 35045-8732 2056649995

FRANCOIS M BLAUDEAU 108 MEDICAL CENTER DR CLANTON,AL 35045-2332 2059860080

TOMEKA ROBERTS 2030 LAY DAM RD CLANTON,AL 35045-8344 2052584400

TWYLA NORSWORTHY 2030 LAY DAM RD CLANTON,AL 35045-8344 2059302456

JAMES L HEAD 1320 WOODFIN LANE CLANTON,AL 35045-8732 2056649995

MIA T COWAN 108 MEDICAL CENTER DR CLANTON,AL 35045-2332 2057554909

DWIGHT HOOPER 2030 LAY DAM RD CLANTON,AL 35045-8344 2059302456PATRICIA A SANDERS 1006 LAY DAM RD CLANTON,AL 35045-2306 2052803360

12 - Choctaw ENIOLA O FAGBONGBE 401 VANITY FAIR AVE BUTLER,AL 36904-3032 2054599100

THOMAS W BROUGHTON 295 B SOUTH JACKSON STREET GROVE HILL,AL 36451-3231 2512753173

JOHN C LAFLEUR 227 HOSPITAL DR JACKSON,AL 36545-2423 2512464446

FRANKIE L BODIE 227 HOSPITAL DR JACKSON,AL 36545-2423 2512464446

SALAH AL-ABBADI 295 B SOUTH JACKSON STREET GROVE HILL,AL 36451-3231 2512753173

ENIOLA FAGBONGBE 295B SOUTH JACKSON STREET GROVE HILL,AL 36451-3231 2512753173

ENIOLA O FAGBONGBE 295 SOUTH JACKSON STREET GROVE HILL,AL 36451-3231 2512753173

JAMES D POLLARD 101 E BRUNSON ST SUITE 120 ENTERPRISE,AL 36330-0908 3343930737

WARREN R BANACH 101 E BRUNSON ST STE 120 ENTERPRISE,AL 36330-2500 3343930737

SHARON M BUSH 400 N EDWARDS ST ENTERPRISE,AL 36330-2510 3346719445

SHARON M BUSH 847 BOLL WEEVIL CIR STE 110 ENTERPRISE,AL 36330-2476 3344894110

BRADLEY HEIM 101 EAST BRUNSON ST #120 ENTERPRISE,AL 36330-2500 3343930737

KERRY L GRIFFIN 101 EAST BRUNSON STREET SUITE 310 ENTERPRISE,AL 36330-2500 3343970737

13 - Clarke

11 - Chilton

08 - Calhoun

16 - Coffee

04 - Bibb

Page 3: Alabama Medicaid Agency Delivering Healthcare Provider ...medicaid.alabama.gov/documents/5.0_Managed_Care/5... · francois m blaudeau 108 medical center dr clanton,al 35045-2332 2059860080

Alabama Medicaid Agency Delivering Healthcare Provider List

Maternity Care ServicesApril 2018

LISA M MALONE 847 BOLL WEEVIL CIR STE 110 ENTERPRISE,AL 36330-2476 3346719445

YOCUNDA CLAYTON 400 N EDWARDS ST ENTERPRISE,AL 36330-2510 3346719445ASHA VOSS 847 BOLL WEEVIL CIR STE 110 ENTERPRISE,AL 36330-2476 8776719445

LARRY C STUTTS 1120 JACKSON HWY #104 SHEFFIELD,AL 35660-5770 2563860855

STEVEN B SNYDER 1120 S JACKSON HWY STE 104 SHEFFIELD,AL 35660-5770 2563860855

LISA M CHRISTIAN 1100 S JACKSON HWY STE 259 SHEFFIELD,AL 35660-5769 2563833372

ROBERT C SLEDGE, JR 1100 S JACKSON HWY STE 259 SHEFFIELD,AL 35660-5769 2563833372

ROBERT C SLEDGE JR MD 1100 S JACKSON HWY STE 201 SHEFFIELD,AL 35660-5769 2563495182FILOMENO C GAPULTOS JR 1100 S JACKSON HWY STE200 SHEFFIELD,AL 35660-5780 2563864488

SHEILA D HENDERSON 580 W BYPASS STE A ANDALUSIA,AL 36420-4744 3345824496

MICHAEL A WELLS 115 MEDICAL PARK DR ANDALUSIA,AL 36420-5323 3342225781LEE A CARNEY 115 MEDICAL PARK DR ANDALUSIA,AL 36420-5323 3342225781

MEGAN S POSTON 212 4TH AVE SE STE 200 CULLMAN,AL 35055-3662 2567392626

DAN HUDSON 212 4TH AVE SE CULLMAN,AL 35055- 2563922626

RANDY J YARBROUGH 1800 AL HWY 157 SUITE 302 CULLMAN,AL 35058-1273 2567366224

JOHN G WIDEMAN 1800 AL HWY 157 STE 302 CULLMAN,AL 35058-0600 2567366224

JOHN G WIDEMAN 501 CLARK ST. NE CULLMAN,AL 35055-1921 2567399898

SHANE L SHEFFIELD 1800 AL HWY 157 SUITE 302 CULLMAN,AL 35058-1273 2567366224

GLORI SHORT 212 4TH AVE SE CULLMAN,AL 35055- 2059301817

WENDY L SHAW 1800 AL HWY 157 STE 302 CULLMAN,AL 35058-1273 2567366224

HOWARD F WILLIAMSON 1800 AL HWY 157 SUITE 302 CULLMAN,AL 35058-1273 2567366224

THOMAS A RICHARD 1800 AL HWY 157 #302 CULLMAN,AL 35058-0600 2567366224CYNTHIA L LASSITER 212 4TH AVE SE CULLMAN,AL 35055-3673 2053011700

SONJA HOWARD 228 SELMA AVE SELMA,AL 36701-5825 3348771490

SONJA S HOWARD 1023 MEDICAL CENTER PARKWAY SUITE 201 SELMA,AL 36701-7739 3345261805

BRENT B WHIDDON 203 VAUGHAN MEMORIAL DR SELMA,AL 36701-6950 3348743633

SAMUEL C LETT 1013 MEDICAL CENTER PARKWAY BUILDING #1 STE 104SELMA,AL 36701-6742 3348751440

WILLIAM M STEVENS 1023 MEDICAL CENTER PKWY SUITE 401 SELMA,AL 36701-6712 3348757173

WILLIAM M STEVENS 1023 MEDICAL CTR PKWY 200 SELMA,AL 36701-2412 3348754184

CHARLES F GIDDENS 3840 GAULT AVE FORT PAYNE,AL 35967-5211 2562595313

PAUL MEGEHEE 34617 AL HWY 75 FYFFE,AL 35971-3488 2566235242

PAUL MEGEHEE 3840 GAULT AVE N FORT PAYNE,AL 35967-5211 2568444975

DANIEL R YORK 550 MEDICAL CENTER DR SW FORT PAYNE,AL 35968-3418 2568458885

JOHN BLAKELY ISBELL 550 MEDICAL CENTER DRIVE FORT PAYNE,AL 35968-3418 2568458885

ROBERT C RAYMOND 2615 GAULT AVE N FORT PAYNE,AL 35967-3728 2568454134

KIMBERLY GORMAN 2114 GAULT AVE. NORTH FORT PAYNE,AL 35967-3534 2568454000STEVEN JOE COULTER 550 MED CTR DR SW FORT PAYNE,AL 35968-3418 2568458885

GREGORY JONES 80 HERREN HILL RD STE C TALLASSEE,AL 36078-1264 3342841500

24 - Dallas

22 - Cullman

20 - Covington

17 - Colbert

16 - Coffee

26 - Elmore

25 - Dekalb

Page 4: Alabama Medicaid Agency Delivering Healthcare Provider ...medicaid.alabama.gov/documents/5.0_Managed_Care/5... · francois m blaudeau 108 medical center dr clanton,al 35045-2332 2059860080

Alabama Medicaid Agency Delivering Healthcare Provider List

Maternity Care ServicesApril 2018

LATOYA CLARK 80 HERREN HILL RD STE C TALLASSEE,AL 36078-1264 3342841500

MELISSA L HEATH 1121 BELLEVILLE AVENUE BREWTON,AL 36426-1500 2518676071

ENIOLA O FAGBONGBE 401 MEDICAL PARK DR. ATMORE,AL 36502-3006 2513682500JAMES J WALKER 1121 BELLEVILLE AVE BREWTON,AL 36426-1500 2518676071

WILLIAM N GODFREE 1026 GOODYEAR AVE SUITE 200 GADSDEN,AL 35903-1194 2565433977

WILLIAM N GODFREE 1411 PIEDMONT CUTOFF GADSDEN,AL 35903-2708 2564920131

MAESHA M TWYNER 1026 GOODYEAR AVE STE 200 GADSDEN,AL 35903-1194 2565433977

CAROLE W CAMPBELL 1411 PIEDMONT CUT-OFF GADSDEN,AL 35903- 2564920131

XAVIER L SMITH 1026 GOODYEAR AVE STE 200 GADSDEN,AL 35903-1194 2565433977

XAVIER L SMITH 1411 PIEDMONT CUTOFF GADSDEN,AL 35903-2708 2564920131

JAMES R PHILLIPS 1026 GOODYEAR AVE SUITE 200 GADSDEN,AL 35903-1194 2565433977

JAMES R PHILLIPS 1411 PIEDMONT CUTOFF GADSDEN,AL 35903-0001 2564920131

SARAH L PROPHET FREDERICK 1026 GOODYEAR AVE STE 200 GADSDEN,AL 35903-1194 2565433977MARK A MANNING 1026 GOODYEAR AVE STE 200 GADSDEN,AL 35903-1194 2565433977

ROBERT C SLEDGE JR MD 211 HOSPITAL RD RED BAY,AL 35582-3858 2563569532

EDUARDO L SANTIAGO 15225 US HWY 43 SUITE B RUSSELLVILLE,AL 35653-1999 2563311900DAPHNE L JONES 523D GANDY STREET NE RUSSELLVILLE,AL 35653-1961 2569984465

31 - Geneva DAVID TEITELBAUM 1200 W MAPLE AVE GENEVA,AL 36340-1642 8004447009

GUY M MIDDLETON 1118 ROSS CLARK CRCL #402 DOTHAN,AL 36301-3002 3346733633

STEPHANIE GIBSON 1118 ROSS CLARK CIRCLE #600 DOTHAN,AL 36301-3007 3347933900

ALLISON E CROUCH MARKER 137 CLINIC DRIVE DOTHAN,AL 36303-1992 3346992229

TEMPLE H LAZENBY 1118 ROSS CLARK CR #600 DOTHAN,AL 36301-3007 3347933900

ROBERT M HAGLER 4300 WEST MAIN ST STE 31 DOTHAN,AL 36305-1051 3347936511

SHARON M BUSH 104 MEDICAL DR DOTHAN,AL 36303-6902 3346719445

JONATHAN T SCOTT 1118 ROSS CLARK CIRCLE STE 600 DOTHAN,AL 36301-3007 3347933900

SHERI A OWENS 104 MEDICAL DR DOTHAN,AL 36303-6902 3346719445

JAMES S BUTLER 4300 W MAIN ST SUITE 31 DOTHAN,AL 36305-1051 3347936511

SCOTT A GILCHRIST 137 CLINIC DRIVE DOTHAN,AL 36303-1992 3346992229

ELLEN D PHILLIPS 1118 ROSS CLARK CIRCLE #402 DOTHAN,AL 36301-3002 3346733633

PHILIP M DOZIER 4300 WEST MAIN ST STE 31 DOTHAN,AL 36301-1051 3347936511

CHRISTOPHER E NICHOLLS 4300 W MAIN ST STE 31 DOTHAN,AL 36305-1051 3347936511

ELAINA G SEXTON 104 MEDICAL DR DOTHAN,AL 36303-6902 3346719445

ELAINA G SEXTON 1108 ROSS CLARK CIR DOTHAN,AL 36301-3022 3346719445

ELAINA G SEXTON 4370 W MAIN ST DOTHAN,AL 36305-1056 3346719445

TIMOTHY R BEISWENGER 2341 WEST MAIN ST, SUITE 1102 DOTHAN,AL 36301-1309 8504162477

BRYAN C MULLINS 4300 WEST MAIN STE 31 DOTHAN,AL 36305-1051 3347936511

WALTER C YOUNG 1118 ROSS CLARK CR SE 600 DOTHAN,AL 36301-3007 3347933900

PRAFUL G PATEL 1118 ROSS CLARK CR ST #600 DOTHAN,AL 36301-3007 3347933900

LATOYA WALTON-TORRENCE 104 MEDICAL DR DOTHAN,AL 36303-6902 3346719445

LATOYA WALTON-TORRENCE 4370 W MAIN ST DOTHAN,AL 36305-1056 3347935000

MARIAN S GILLILAND 104 MEDICAL DR DOTHAN,AL 36303-6902 3346719445

35 - Houston

30 - Franklin

28 - Etowah

27 - Escambia

26 - Elmore

Page 5: Alabama Medicaid Agency Delivering Healthcare Provider ...medicaid.alabama.gov/documents/5.0_Managed_Care/5... · francois m blaudeau 108 medical center dr clanton,al 35045-2332 2059860080

Alabama Medicaid Agency Delivering Healthcare Provider List

Maternity Care ServicesApril 2018

NICOLE JOHNSTON 4300 W MAIN ST STE 31 DOTHAN,AL 36305-1315 3347936511

JOHN H GORDON 1118 ROSS CLARK CIR STE 402 DOTHAN,AL 36301-3002 3346733633

BETTY KOUKIS 104 MEDICAL DR DOTHAN,AL 36303-6902 3346719445

ROBERT S CLEVELAND 137 CLINIC DRIVE DOTHAN,AL 36303-1992 3346992229

THOMAS W ROBINSON 1118 ROSS CLARK CRCL #402 DOTHAN,AL 36301-3002 3346733633

ASHA VOSS 104 MEDICAL DR DOTHAN,AL 36303-6902 3346719445

ASHA VOSS 4370 W MAIN ST DOTHAN,AL 36305-1056 3347935000KENNETH E FARMER JR 1118 ROSS CLARK CR ST600 DOTHAN,AL 36301-3007 3347933900

CHARLES F GIDDENS 21680 AL HWY 79 SCOTTSBORO,AL 35768-5904 2565873050

MARK C COOPER 505 BURLINGTON STREET SCOTTSBORO,AL 35768-4216 2562594100

PAUL J MEGEHEE 408 TAYLOR STREET SCOTTSBORO,AL 35768-2424 2562595211

PAUL MEGEHEE 21680 ALABAMA HIGHWAY 79 SCOTTSBORO,AL 35768-5904 2565873050

IVONNE VARGAS-SANCHEZ 408 TAYLOR STREET SCOTTSBORO,AL 35768-2424 2562595211

JERRY D PIERCE 408 TAYLOR STREET SCOTTSBORO,AL 35768-2424 2562595211

JERRY PIERCE 13624 COUNTY ROAD 8 WOODVILLE,AL 35776-5615 2567765615

JERRY PIERCE 29810 AL HWY 71 BRYANT,AL 35958-0355 2565974114

KERRI S BEVIS 619 19TH ST S BIRMINGHAM,AL 35249-1900 2059346600

MARY KINNEY L CORLEY 2010 BROOKWOOD MEDICAL CTR DR BIRMINGHAM,AL 35209-6804 8009672289

TANYA P HOKE 1201 11TH AVE S BIRMINGHAM,AL 35205-3410 2059307100

TANYA P HOKE 1500 6TH AVE S BIRMINGHAM,AL 35294-0026 2059342170

TANYA P HOKE 1700 6TH AVE S BIRMINGHAM,AL 35233-1802 2059963130

TANYA P HOKE 2000 6TH AVE S BIRMINGHAM,AL 35233-2110 2059349999

TANYA P HOKE 619 19TH STREET S BIRMINGHAM,AL 35249-1900 2059344011

SARAH F WHITEHEAD 2006 BROOKWOOD MED CTR DR SUITE 700 BIRMINGHAM,AL 35209-6894 2053971286

KIMBERLY H HOOVER 1600 7TH AVE S BIRMINGHAM,AL 35233-1711 2059399100

KIMBERLY H HOOVER 2000 6TH AVENUE SOUTH BIRMINGHAM,AL 35233-2110 2057319050

KIMBERLY H HOOVER 701 PRINCETON AVE SW BIRMINGHAM,AL 35211-1303 2057833000

KIMBERLY HOOVER 1500 6TH AVE S BIRMINGHAM,AL 35233-1602 2059342170

ISUZU MEYER 2000 6TH AVENUE SOUTH BIRMINGHAM,AL 35233-2110 2058018000

ISUZU MEYER 619 19TH STREET S BIRMINGHAM,AL 35249-1900 2059344011

ISUZU MEYER 810 SAINT VINCENTS DR BIRMINGHAM,AL 35205-1601 2059397000

MACK N BARNES 2006 BROOKWOOD MED CTR DR. STE. 104 BIRMINGHAM,AL 35209-6853 2058775100

MACK N BARNES 810 ST VINCENTS DR BIRMINGHAM,AL 35205-1601 2059397880

MARGOT M GATHINGS 2006 BROOKWOOD MED CTR DR SUITE 600 BIRMINGHAM,AL 35209-6885 2058772971

MARGOT M GATHINGS 2006 BROOKWOOD MEDICAL CTR DR STE 302 BIRMINGHAM,AL 35209-6885 2058772880

35 - Houston

37 - Jefferson

36 - Jackson

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Alabama Medicaid Agency Delivering Healthcare Provider List

Maternity Care ServicesApril 2018

MARGOT M GATHINGS 2010 BROOKWOOD MEDICAL CENTER BIRMINGHAM,AL 35209-6804 2058771000

MEGAN S POSTON 806 SAINT VINCENTS DR STE 500 BIRMINGHAM,AL 35205-1616 2059301800

WARNER K HUH 1201 11TH AVE SOUTH BIRMINGHAM,AL 35205-3410 2055026000

WARNER K HUH 2000 6TH AVE SOUTH BIRMINGHAM,AL 35233-2110 2057319858

JOHN M STRAUGHN 2000 6TH AVENUE SOUTH BIRMINGHAM,AL 35233-2110 2057319858

JOHN M STRAUGHN 619 19TH ST S BIRMINGHAM,AL 35249-1900 2059346600

SARAH E DILLEY 1201 11TH AVE S BIRMINGHAM,AL 35205-3410 2059307100

SARAH E DILLEY 2000 6TH AVE SOUTH BIRMINGHAM,AL 35233-2110 2059349999

SARAH E DILLEY 619 19TH STREET S BIRMINGHAM,AL 35249-1900 2059344011

JIMMY M SPARKS 2006 BROOKWOOD MED CTR DR STE 700 BIRMINGHAM,AL 35209-6894 2058775444

SHERI M JENKINS 1500 6TH AVE SOUTH BIRMINGHAM,AL 35233-1602 2059342170

SHERI M JENKINS 2000 6TH AVE SOUTH BIRMINGHAM,AL 35233-2110 2058018000

SHERI M JENKINS 619 19TH ST S BIRMINGHAM,AL 35249-1900 2059346405

HOLLY E RICHTER 2000 6TH AVE SO BIRMINGHAM,AL 35233-2110 2059343830

JESANNA C COOPER 832 PRINCETON AVE SW BIRMINGHAM,AL 35211-1320 2052068477

DEBORA F KIMBERLIN 1500 6TH AVENUE SOUTH BIRMINGHAM,AL 35233-1602 2059780250

DEBORA F KIMBERLIN 619 19TH ST S BIRMINGHAM,AL 35249-1900 2057319858

DEBORA KIMBERLIN 2000 6TH AVE SOUTH BIRMINGHAM,AL 35233-2110 2058018000

HALLER J SMITH 1201 11TH AVENUE SOUTH BIRMINGHAM,AL 35205-4100 2059307100

HALLER J SMITH 2000 6TH AVE S BIRMINGHAM,AL 35233-2110 2053499911

HALLER J SMITH 619 19TH ST S BIRMINGHAM,AL 35249-1900 2059344011

JOHN EDWARDS 806 SAINT VINCENTS DR STE 500 BIRMINGHAM,AL 35205-1616 2059301800

RUPA D GOOLSBY 800 SAINT VINCENTS DR STE 600 BIRMINGHAM,AL 35205-1630 2052711600

RONISHIA D THOMAS 2006 BROOKWOOD MEDICAL CENTER STE 710 BIRMINGHAM,AL 35209-6894 2058701262

VIRGINIA N WINSTON 3690 GRANDVIEW MEDICAL CENTER BIRMINGHAM,AL 35243-0000 2059713000

VIRGINIA N WINSTON 860 MONTCLAIR ROAD SUITE 251 BIRMINGHAM,AL 35213-1949 2055925499

VIRGINIA WINSTON 3686 GRANDVIEW PARKWAY SUITE 320 BIRMINGHAM,AL 35243-3404 2059715499

NATALIE REDDINGTON 3686 GRANDVIEW PARKWAY SUITE 320 BIRMINGHAM,AL 35243-3404 2059715499

NATALIE REDDINGTON 5890 VALLEY RD STE 200 BIRMINGHAM,AL 35235-8669 2056557600

NATALIE T REDDINGTON 4360 MAIN STREET PINSON,AL 35126-3290 2055914488

CRAIG H CHRISTOPHER 1813 6TH AVE SOUTH BIRMINGHAM,AL 35233-1920 2059341180

DAVID B DAMRICH 800 ST. VINCENTS DRIVE SUITE 500 BIRMINGHAM,AL 35205-1629 2059338334

DAN H HUDSON 806 SAINT VINCENTS DR STE 500 BIRMINGHAM,AL 35205-1616 2059301800

MICHELE M CHRISTINE 800 ST. VINCENTS DRIVE SUITE 500 BIRMINGHAM,AL 35205-1629 2059338334

37 - Jefferson

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Alabama Medicaid Agency Delivering Healthcare Provider List

Maternity Care ServicesApril 2018

RANDY J YARBROUGH 2010 BROOKWOOD MEDICAL CTR DR BIRMINGHAM,AL 35209-6804 2058771000

RANDY J YARBROUGH OBGYN-500 995 9TH AVE., SW, SUITE 500 BESSEMER,AL 35022-4527 2054817750

CECILIA M STRADTMAN 2006 BROOKWOOD MED CTR DR SUITE 700 BIRMINGHAM,AL 35209-6894 2053017286

ROBERT ED VARNER 2000 6TH AVE SOUTH BIRMINGHAM,AL 35233-2110 2059693362

ROBERT E VARNER JR 1700 6TH AVE S BIRMINGHAM,AL 35233-1802 2059963130

ROBERT L HOLLEY 619 19TH ST S BIRMINGHAM,AL 35249-1900 2059346600

FRANCES S BURGAN 1500 6TH AVE S BIRMINGHAM,AL 35294-0026 2059342170

FRANCES S BURGAN 1700 6TH AVE S BIRMINGHAM,AL 35233-1802 2059963130

FRANCES S BURGAN 619 19TH ST S BIRMINGHAM,AL 35255-5309 2059344011

JARED M ROBERTS 800 SAINT VINCENTS DR STE 500 BIRMINGHAM,AL 35205-1629 2059338334

AUBREY P SCHINNERER 800 SAINT VINCENTS DR STE 600 BIRMINGHAM,AL 35205-1630 2052711600

CRAIG M TILGHMAN 2010 BROOKWOOD MEDICAL CTR DR BIRMINGHAM,AL 35209-6804 8009672289

CHRISTINA E MADDOX 2006 BROOKWOOD MEDICAL CENTER BIRMINGHAM,AL 35209-6823 2058772121

JON M ADCOCK 2006 BROOKWOOD MED CTR DR SUITE 402 BIRMINGHAM,AL 35209-6823 2058772950

RACHEL G SINKEY 1500 6TH AVE S BIRMINGHAM,AL 35294-0026 2059342170

RACHEL G SINKEY 1700 6TH AVE S BIRMINGHAM,AL 35233-1802 2059963130

RACHEL G SINKEY 619 19TH STREET S BIRMINGHAM,AL 35249-1900 2059344011

JOSEPH M MALEK 619 19TH STREET S BIRMINGHAM,AL 35249-1900 2059344011

JOSEPH M MALEK 995 9TH AVE., SW BESSEMER,AL 35022-4527 2054817312

AUDRA R WILLIAMS 1201 11TH AVE S BIRMINGHAM,AL 35205-3410 2059963130

AUDRA R WILLIAMS 1500 6TH AVE S BIRMINGHAM,AL 35233-1602 2059342170

AUDRA R WILLIAMS 1700 6TH AVE S BIRMINGHAM,AL 35233-1802 2059963130

AUDRA R WILLIAMS 2000 6TH AVE S BIRMINGHAM,AL 35233-2110 2059349999

AUDRA R WILLIAMS 619 19TH STREET S BIRMINGHAM,AL 35249-1900 2059963130

BRENT A PARNELL 2006 BROOKWOOD MEDICAL CENTER DRIVE, SUITE 402BIRMINGHAM,AL 35209-6823 2053979000

DANIEL PASKO 1201 11TH AVE S BIRMINGHAM,AL 35205-3410 2059307100

DANIEL PASKO 1700 6TH AVE S BIRMINGHAM,AL 35233-1802 2059963130

DANIEL PASKO 2000 6TH AVE S BIRMINGHAM,AL 35233-2110 2059349999

DANIEL PASKO 619 19TH ST S BIRMINGHAM,AL 35249-1900 2059344011

CHARLES E SHARP JR 2700 10TH AVE S BLDG 2 STE 306 BIRMINGHAM,AL 35205-1248 2059334020

ASHLEY D PRZYBYSZ 800 ST. VINCENTS DRIVE SUITE 500 BIRMINGHAM,AL 35205-1629 2059338334

EMILY M BELL 832 PRINCETON AVE SW BIRMINGHAM,AL 35211-1320 2052068477

GRETCHEN N ZSEBIK 48 MEDICAL PARK DR E STE 355 BIRMINGHAM,AL 35235-3470 2058383036

SARA E MAZZONI 1500 6TH AVENUE SOUTH BIRMINGHAM,AL 35294-0026 2059342170

SARA E MAZZONI 1700 6TH AVE S BIRMINGHAM,AL 35233-1801 2059963130

37 - Jefferson

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Alabama Medicaid Agency Delivering Healthcare Provider List

Maternity Care ServicesApril 2018

KENNETH H KIM 1201 11TH AVE S BIRMINGHAM,AL 35205-3410 2059307100

KENNETH H KIM 1700 6TH AVE S BIRMINGHAM,AL 35233-1802 2059963130

KENNETH H KIM 2000 6TH AVE S BIRMINGHAM,AL 35233-2110 2059349999

KENNETH H KIM 619 19TH ST S BIRMINGHAM,AL 35233-1802 2059963130

JOHANNA B VON HOFE 2000 6TH AVE S BIRMINGHAM,AL 35233-2110 2059349999

JOHANNA VON HOFE 1201 11TH AVE S BIRMINGHAM,AL 35205-3423 2059307100

JOHANNA VON HOFE 1500 6TH AVE S BIRMINGHAM,AL 35233-1602 2059342170

JOHANNA VON HOFE 1700 6TH AVE S BIRMINGHAM,AL 35233-1802 2059963130

JOHANNA VON HOFE 619 19TH ST S BIRMINGHAM,AL 35249-1900 2059344011

SARAH AULTMAN 2006 BROOKWOOD MEDICAL CENTER BIRMINGHAM,AL 35209-6885 2058772121

SARAH E AULTMAN 2010 BROOKWOOD MEDICAL CTR DR BIRMINGHAM,AL 35209-6804 8009672289

SARAH E AULTMAN 339 WALKER CHAPEL PLZ FULTONDALE,AL 35068-3401 2053807878

ERIN N WAIT 48 MEDICAL PARK DR E STE 355 BIRMINGHAM,AL 35235-3470 2058383036

ERIN N WAIT 800 SAINT VINCENTS DR STE 500 BIRMINGHAM,AL 35205-1629 2059338334

CHARLES A LEATH 619 19TH ST S BIRMINGHAM,AL 35249-1900 2059344011

CHARLES A LEATH III 1500 6TH AVENUE SOUTH BIRMINGHAM,AL 35233- 2057319858

LISA FRANKLIN 806 SAINT VINCENTS DR STE 500 BIRMINGHAM,AL 35205-1616 2059301843

LEWIS R SCHULMAN 3690 GRANDVIEW PKWY BIRMINGHAM,AL 35243-3326 2059713000

LEWIS R SCHULMAN 840 MONTCLAIR RD STE 500 BIRMINGHAM,AL 35213-1946 2055925499

LEWIS SCHULMAN 3686 GRANDVIEW PARKWAY SUITE 320 BIRMINGHAM,AL 35243-3404 2059715499

JOHN OWEN 1500 6TH AVE S BIRMINGHAM,AL 35233-1602 2057319858

JOHN OWEN 2000 6TH AVE S BIRMINGHAM,AL 35233-2110 2059343394

JESSICA E GILL 985 9TH AVE SW STE 500 BESSEMER,AL 35022-7814 2054817750

CHRISTIAN M DEY 48 MEDICAL PARK DR E STE 355 BIRMINGHAM,AL 35235-3470 2058383036

WILLIAM T HUDSON 806 ST. VINCENTS DRIVE STE 450 BIRMINGHAM,AL 35205-1616 2055367676

MONJRI M SHAH 3686 GRANDVIEW PKWY STE 510 BIRMINGHAM,AL 35243-3509 2055925077

MONJRI SHAH 2006 BROOKWOOD MEDICAL CTN DR WOMEN MEDICAL PLAZA, SUITE 104BIRMINGHAM,AL 35209-6899 2058775100

MONJRI SHAH 2728 10TH AVENUE SOUTH SUITE 200 BIRMINGHAM,AL 35205-1202 2059397880

JAMIE M ROUTMAN 2006 BROOKWOOD MED CTR DR SUITE 202 BIRMINGHAM,AL 35209-6823 2053978850

JACK B FREEMAN 2006 BROOKWOOD MED CTR DR. STE. 202 BIRMINGHAM,AL 35209-6899 2053978850

JANET BOUKNIGHT 1700 6TH AVE S BIRMINGHAM,AL 35233-1802 2059963130

JANET L BOUKNIGHT 1141 PAYTON WAY LEEDS,AL 35094-1116 2056990729

WILLIAM F HUGGINS 2006 BROOKWOOD MED CTR DR S-310 WMP BIRMINGHAM,AL 35209-6899 2058772802

37 - Jefferson

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Alabama Medicaid Agency Delivering Healthcare Provider List

Maternity Care ServicesApril 2018

ANTONIO R GONZALES-RUIZ 2010 BROOKWOOD MEDICAL CTR DR BIRMINGHAM,AL 35209-6804 2058775113

ANTONIO R GONZALEZ-RUIZ 2006 BROOKWOOD MEDICAL CTR DR SUITE 604BIRMINGHAM,AL 35209-6845 2058772880

TODD R JENKINS 1500 6TH AVE S OBSTETRICS SPECIAL CARE BIRMINGHAM,AL 35233-1602 2059342170

TODD R JENKINS 2000 6TH AVE SOUTH BIRMINGHAM,AL 35233-2110 2057319050

WILLIAM S MCKENZIE JR 2006 BRKWD MED CTR DR 402 BIRMINGHAM,AL 35209-6823 2053979000

DEE R DENSON 917 TUSCALOOSA AVE SW BIRMINGHAM,AL 35211-1618 2057817123

ALICE R GOEPFERT 1500 6TH AVE SOUTH BIRMINGHAM,AL 35233-1602 2059301093

ALICE R GOEPFERT 2000 SIXTH AVE SOUTH BIRMINGHAM,AL 35233-2110 2059343830

ALICE R GOEPFERT 619 19TH ST S BIRMINGHAM,AL 35249-1900 2059346600

EMILY J GOULET 1500 6TH AVENUE SOUTH BIRMINGHAM,AL 35294-0026 2059342170

EMILY J GOULET 619 19TH STREET S BIRMINGHAM,AL 35249-1900 2059344011

DAVID BECKER 1201 11TH AVE S BIRMINGHAM,AL 35205-3410 2059307100

DAVID BECKER 1500 6TH AVE S BIRMINGHAM,AL 35233-1602 2059342170

DAVID BECKER 1700 6TH AVE S BIRMINGHAM,AL 35233-1802 2059963130

DAVID BECKER 2000 6TH AVE S BIRMINGHAM,AL 35233-2110 2059349999

DAVID BECKER 619 19TH ST S BIRMINGHAM,AL 35249-1900 2059344011

JOHN C FOSTER 800 ST VINCENTS DR #600 BIRMINGHAM,AL 35213-1630 2052713193

ANTONIA E WILLIAMS 832 PRINCETON AVE SW BIRMINGHAM,AL 35211-1320 2052068477

DAVID DOO 1201 11TH AVE S BIRMINGHAM,AL 35205-3410 2059307100

DAVID DOO 1500 6TH AVE S BIRMINGHAM,AL 35233-1602 2059342170

DAVID DOO 2000 6TH AVE S BIRMINGHAM,AL 35233-2110 2059349999

DAVID DOO 619 19TH ST S BIRMINGHAM,AL 35249-1900 2059344011

STEPHANIE GONG 48 MEDICAL PARK EAST DRIVE SUITE 456 BIRMINGHAM,AL 35235- 2058386224

ROWELL S ASHFORD II 1088 9TH AVE SW STE 106 BESSEMER,AL 35022-7834 2052772358

ROWELL S ASHFORD II 1308 TUSCALOOSA AVE SW BIRMINGHAM,AL 35211-1948 2056796325

ROWELL S ASHFORD II 1925 AVENUE E ENSLEY,AL 35218-1619 2057885164

ROWELL S ASHFORD II 801 PRINCETON AVE SW STE 332 PO BOX I BIRMINGHAM,AL 35211-1307 2057885164

ROWEL S ASHFORD II 2800 ALLISON BONNETT MEMORIAL HUEYTOWN,AL 35023-1845 2057885164

JAMES M AUSTIN 1201 11TH AVE SOUTH BIRMINGHAM,AL 35205-3410 2059307722

JUDITH K FAVOR 2006 BROOKWOOD MED CTR DR STE 700 BIRMINGHAM,AL 35209-6894 2059338447

JOSEPH R BIGGIO JR 2000 6TH AVENUE SOUTH BIRMINGHAM,AL 35233-2110 2057319858

WILLIAM M JOHNSON III 800 ST VINCENTS DR #600 BIRMINGHAM,AL 35205-1630 2052713193

REBECCA C AREND 1500 6TH AVE S BIRMINGHAM,AL 35233-1602 2059342170

REBECCA C AREND 619 19TH ST S BIRMINGHAM,AL 35249-1900 2059344011

TERA F HOWARD 1700 6TH AVE S BIRMINGHAM,AL 35233-1802 2059963130

37 - Jefferson

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Alabama Medicaid Agency Delivering Healthcare Provider List

Maternity Care ServicesApril 2018

TERA F HOWARD 2000 6TH AVE S BIRMINGHAM,AL 35233-2110 2059963130

TERA HOWARD 1141 PAYTON WAY LEEDS,AL 35094-1116 2056990729

TERA HOWARD 1201 11TH AVE S BIRMINGHAM,AL 35205-3410 2059307100

TERA HOWARD 619 19TH ST S BIRMINGHAM,AL 35249-1900 2059344011

HELENA M BATSON 2006 BROOKWOOD MED CTR DR WMP SUITE 402BIRMINGHAM,AL 35209-6823 2053979000

ELIZABETH C DUKE 2006 BROOKWOOD MEDICAL CENTER SUITE 600BIRMINGHAM,AL 35209-6885 2058772971

ALAN TITA 1201 11TH AVE S BIRMINGHAM,AL 35205-3410 2059307100

ALAN TITA 2000 6TH AVE S BIRMINGHAM,AL 35233-2110 2059349999

ALAN TITA 619 19TH ST S BIRMINGHAM,AL 35249-1900 2059344011

ALAN T TITA 1500 6TH AVENUE SOUTH BIRMINGHAM,AL 35233-1602 2059342170

ALAN T TITA 2145 BONNER WAY BIRMINGHAM,AL 35243-2949 2059780250

JODIE B BENTON 800 ST VINCENTS DR #600 BIRMINGHAM,AL 35205-1630 2052711600

DALE M GREENE 2152 OLD SPRINGVILLE RD CENTER POINT,AL 35215-4005 2058386736

DALE M GREENE 48 MEDICAL PARK EAST DRIVE SUITE 456 BIRMINGHAM,AL 35235-3473 2058386224

WENDY R GREGORY 2006 BROOKWOOD MEDICAL CEN STE 700 BIRMINGHAM,AL 35209-6894 2058775444

ELIZABETH BLAIR 48 MEDICAL PARK DRIVE EAST SUITE 355 BIRMINGHAM,AL 35235-3470 2058383036

EMILY F EVITT 2010 BROOKWOOD MEDICAL CTR DR BIRMINGHAM,AL 35209-6804 2058771000

BRYAN L PRUITT 48 MEDICAL PARK EAST DRIVE SUITE 355 BIRMINGHAM,AL 35235-3470 2058383998

ELIZABETH B AUSBECK 1201 11TH AVE S BIRMINGHAM,AL 35205-3410 2059307100

ELIZABETH B AUSBECK 1500 6TH AVE S BIRMINGHAM,AL 35294-0026 2059342170

ELIZABETH B AUSBECK 1700 6TH AVE S BIRMINGHAM,AL 35233-1802 2059963130

ELIZABETH B AUSBECK 2000 6TH AVE S BIRMINGHAM,AL 35233-2110 2059349999

ELIZABETH B AUSBECK 619 19TH STREET S BIRMINGHAM,AL 35249-1900 2059344011

DAVID ELLINGTON 810 SAINT VINCENTS DR BIRMINGHAM,AL 35205-1601 2059397000

DAVID R ELLINGTON 1500 6TH AVE S BIRMINGHAM,AL 35233-1602 2059342170

DAVID R ELLINGTON 619 19TH STREET S BIRMINGHAM,AL 35249-1900 2059344011

FRANCOIS M BLAUDEAU 3401 INDEPENDENCE DR BIRMINGHAM,AL 35209-5620 2059300080

FRANCOIS M BLAUDEAU 3401 INDEPENDENCE DR #221 BIRMINGHAM,AL 35209-5620 2059300080

WILLIAM REED 50 MEDICAL PARK E. DRIVE BIRMINGHAM,AL 35235-3401 2058383000

MARGARET BOOZER 1141 PAYTON WAY LEEDS,AL 35094-1116 2056690729

MARGARET M BOOZER 1500 6TH AVE S BIRMINGHAM,AL 35233-1602 2059342170

MARGARET M BOOZER 619 19TH ST S BIRMINGHAM,AL 35249-1900 2059344011

37 - Jefferson

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Alabama Medicaid Agency Delivering Healthcare Provider List

Maternity Care ServicesApril 2018

HEIDI K STRAUGHN 2006 BROOKWOOD MED CTR DR STE. 202 BIRMINGHAM,AL 35209-6899 2053978850

GLORI A SHORT 806 SAINT VINCENTS DR STE 500 BIRMINGHAM,AL 35205-1616 2059301800

JESSICA L RODRIGUEZ 5295 PRESERVE PKWY STE 250 HOOVER,AL 35244-4702 2056649995

TOMEKA ROBERTS 2006 BROOKWOOD MEDICAL CENTER SUITE 410BIRMINGHAM,AL 35209-6823 2054510753

ELI L BROWN 2006 BROOKWOOD MED CNT DR STE 210 WMPBIRMINGHAM,AL 35209-6898 2058772966

ERIN F COOK 1201 11TH AVENUE SOUTH BIRMINGHAM,AL 35233-1802 2053070030

ERIN F COOK 1500 6TH AVE S BIRMINGHAM,AL 35233-1602 2053427030

ERIN F COOK 1600 7TH AVE S BIRMINGHAM,AL 35233-1711 2059399100

ERIN F COOK 1700 6TH AVE S BIRMINGHAM,AL 35233-1802 2059963130

ERIN F COOK 2000 6TH AVE S BIRMINGHAM,AL 35233-2110 2053499930

ERIN F COOK 619 19TH ST S BIRMINGHAM,AL 35233-1802 2053441130

LUISA A WETTA 1500 6TH AVE SOUTH BIRMINGHAM,AL 35233-1602 2059342170

LUISA A WETTA 619 19TH ST S BIRMINGHAM,AL 35249-1900 2059346405

JANEEN L ARBUCKLE 1500 6TH AVE S BIRMINGHAM,AL 35233-1602 2059342170

JANEEN L ARBUCKLE 1600 7TH AVE S BIRMINGHAM,AL 35233-1711 2059399100

JANEEN L ARBUCKLE 619 19TH ST S BIRMINGHAM,AL 35249-1900 2059344011

AKILA SUBRAMANIAM 1500 6TH AVE S BIRMINGHAM,AL 35233-1602 2059342170

AKILA SUBRAMANIAM 619 19TH ST S BIRMINGHAM,AL 35249-1900 2059344011

CHASE R CAWYER 619 19TH STREET S BIRMINGHAM,AL 35249-1900 2059344011

ALISON A HEATON 806 ST. VINCENTS DRIVE STE 450 BIRMINGHAM,AL 35205-1616 2055367676

TAYLOR M BANAHAN 800 SAINT VINCENTS DRIVE SUITE 500, NORTH TOWERBIRMINGHAM,AL 35205-1629 2059338334

LINDSAY M KISSANE 1201 11TH AVENUE SOUTH BIRMINGHAM,AL 35205-4100 2059307100

LINDSAY M KISSANE 2000 6TH AVE S BIRMINGHAM,AL 35233-2110 2059349999

LINDSAY M KISSANE 619 19TH ST S BIRMINGHAM,AL 35249-1900 2059344011

CHARLES W ROBINETT JR 2006 BRRKWOOD MED CTR DR S-310 WMP BIRMINGHAM,AL 35209-6899 2058772802

MAMIE R MCLEAN 1141 PAYTON WAY LEEDS,AL 35094-1116 2056990729

MAMIE R MCLEAN 2000 6TH AVE S BIRMINGHAM,AL 35233-2110 2059349999

WILLIAM A LEMONS JR 840 MONTCLAIR RD #500 BIRMINGHAM,AL 35213-1946 2055925499

TILL TYLER 810 SAINT VINCENTS DR BIRMINGHAM,AL 35205-1601 2058772339

RONALD W ORSO 800 ST VINCENTS DR #500 BIRMINGHAM,AL 35205-1629 2059338334

MARY K INGRAM 806 SAINT VINCENTS DR STE 500 BIRMINGHAM,AL 35205-1616 2059301800

CHERE M STEWART 1500 6TH AVE S BIRMINGHAM,AL 35233-1602 2059342170

CHERE' M STEWART 619 19TH ST S BIRMINGHAM,AL 35249-1900 2059346600

SARAH L WOOD 1201 11TH AVENUE SOUTH BIRMINGHAM,AL 35205-3410 2059307100

37 - Jefferson

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Alabama Medicaid Agency Delivering Healthcare Provider List

Maternity Care ServicesApril 2018

SARAH L WOOD 1500 6TH AVENUE SOUTH BIRMINGHAM,AL 35294-0026 2059342170

SARAH L WOOD 2000 6TH AVENUE SOUTH BIRMINGHAM,AL 35233-2110 2058018000

SARAH L WOOD 619 19TH STREET S BIRMINGHAM,AL 35249-1900 2059344011

SPENCER G KUPER 619 19TH ST S BIRMINGHAM,AL 35249-1900 2059344011

MICHAEL C DOBELBOWER 619 19TH ST S BIRMINGHAM,AL 35249-1900 2059346600

MICHELLE J KHAN 2321 JOHN HAWKINS PARKWAY HOOVER,AL 35244-3543 2059897254

TAYLOR B TURNER 1201 11TH AVE S BIRMINGHAM,AL 35205-3423 2059307100

TAYLOR B TURNER 995 9TH AVE., SW BESSEMER,AL 35022-4527 2054817312

TAYLOR TURNER 619 19TH ST S BIRMINGHAM,AL 35249-1900 2059344011

MARGARET MIKLIC 3686 GRANDVIEW PARKWAY SUITE 320 BIRMINGHAM,AL 35243-3404 2059715499

RICHARD O DAVIS 1500 6TH AVENUE SOUTH BIRMINGHAM,AL 35233-1602 2059342170

SARAH C DAVIS 800 ST. VINCENTS DRIVE SUITE 500 BIRMINGHAM,AL 35205-1629 2059338334

ROBERT P GOOLSBY 2700 10TH AVE S STE 306 BIRMINGHAM,AL 35205-1248 2059334020

KARLA GROW KENNEDY 2006 BROOKWOOD MED CTR DRIVE #600 BIRMINGHAM,AL 35209-6885 2058772971

JULIE T TAYLOR 2006 BROOKWOOD MEDICAL CTR DR STE 402 BIRMINGHAM,AL 35209-6823 2053979000

JULIE T TAYLOR 2152 OLD SPRINGVILLE RD CENTER POINT,AL 35215-4005 2058386736

SHANNON B ELLIS 800 ST. VINCENTS DRIVE SUITE 500 BIRMINGHAM,AL 35205-1629 2059338334

LAUREN LINKEN 1088 9TH AVE SW STE 106 BESSEMER,AL 35022-7834 2059262992

LAUREN LINKEN 995 9TH AVE SW BESSEMER,AL 35022-4527 2054817000

GORDON W BATES 1141 PAYTON WAY LEEDS,AL 35094-1116 2056990729

GORDON W BATES JR 619 19TH ST S BIRMINGHAM,AL 35249-1900 2059346600

CARY CROWE 806 SAINT VINCENTS DR STE 500 BIRMINGHAM,AL 35205-1616 2059301800

JAMES BROCK 3686 GRANDVIEW PKWY STE 320 BIRMINGHAM,AL 35243-3404 2059715499

JAMES C BROCK 2006 BROOKWOOD MEDICAL CTR DR STE 302 BIRMINGHAM,AL 35209-6823 2058772880

JAMES C BROCK 2010 BROOKWOOD MEDICAL CTR DR BIRMINGHAM,AL 35209-6804 2058772880

JAMES C BROCK 3690 GRANDVIEW PKWY BIRMINGHAM,AL 35243-3326 2059173000

JAMES C BROCK 4500 MONTEVALLO RD STE E101 BIRMINGHAM,AL 35210-3128 2058772880

ALEX J CHILDS 2006 BRKWD MED CTR DR #402 BIRMINGHAM,AL 35209-6823 2053979000

CYNTHIA G BRUMFIELD 1500 6TH AVE S BIRMINGHAM,AL 35233-1602 2059780250

CYNTHIA G BRUMFIELD 2000 6TH AVE SOUTH BIRMINGHAM,AL 35233-2110 2059346045

MARGARET I LIANG 1201 11TH AVE S BIRMINGHAM,AL 35205-3410 2059307100

MARGARET I LIANG 1500 6TH AVE S BIRMINGHAM,AL 35294-0026 2059342170

MARGARET I LIANG 1700 6TH AVE S BIRMINGHAM,AL 35233-1802 2059963130

MARGARET I LIANG 2000 6TH AVE S BIRMINGHAM,AL 35233-2110 2059349999

37 - Jefferson

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Alabama Medicaid Agency Delivering Healthcare Provider List

Maternity Care ServicesApril 2018

MARGARET I LIANG 619 19TH STREET S BIRMINGHAM,AL 35249-1900 2059344011

JEFFREY GUNNELLS 806 SAINT VINCENTS DR STE 500 BIRMINGHAM,AL 35205-1616 2059301843

CHRISTY J HEATH 800 ST. VINCENTS DR. SUITE 500 BIRMINGHAM,AL 35205-1629 2059338334

MIA T COWAN 2401 15TH AVENUE NORTH BIRMINGHAM,AL 35234-2833 2058772921

ALICIA BALLARD 810 SAINT VINCENTS DR BIRMINGHAM,AL 35205-1601 2059397000

ALICIA C BALLARD 2000 6TH AVE S BIRMINGHAM,AL 35233-2110 2058018000

WILLIAM W ANDREWS 1500 6TH AVENUE SOUTH BIRMINGHAM,AL 35233-1602 2054979341

WILLIAM W ANDREWS 908 20TH ST S BIRMINGHAM,AL 35205-2610 2059343830

CYNTHIA H BROWN 2006 BROOKWOOD MED CTR DR STE 700 BIRMINGHAM,AL 35209-6894 2058775444

SHEILA M LOPEZ 832 PRINCETON AVE SW BIRMINGHAM,AL 35211-1320 2052068477

RICHARD EDGA BLACKWELL 2000 6TH AVENUE SOUTH BIRMINGHAM,AL 35233-2110 3349990000

CYNTHIA LASSITER 806 SAINT VINCENTS DR STE 500 BIRMINGHAM,AL 35205-1616 2059301843

FARINNA WILLIS 2006 BROOKWOOD MED CEN DR STE 204 BIRMINGHAM,AL 35243-6823 2058772229

KATHRYN P MCKINNEY 3686 GRANDVIEW PKWY STE 300 BIRMINGHAM,AL 35243-3404 2055367676

DWIGHT E HOOPER 50 MEDICAL PARK DR E BIRMINGHAM,AL 35235-3401 2059302456

LORIE M HARPER 2000 6TH AVE S BIRMINGHAM,AL 35233-2110 2058018000

LORI M HARPER 1500 6TH AVE S BIRMINGHAM,AL 35233-1602 2059342170

ANNE SNOWDEN 806 SAINT VINCENTS DR STE 500 BIRMINGHAM,AL 35205-1616 2059301800

DEIDRE D GUNN 1500 6TH AVENUE SOUTH BIRMINGHAM,AL 35294-0026 2059342170

DIEDRE D GUNN 619 19TH STREET SOUTH BIRMINGHAM,AL 35249-1900 2053944011

RICHARD S STEPHEN 985 9TH AVE SW STE 500 BESSEMER,AL 35022-7814 2054817750

NATHAN M ROSS 2006 BROOKWOOD MED CTR BIRMINGHAM,AL 35209-6899 2053979000

JACQUELINE HANCOCK 1141 PAYTON WAY LEEDS,AL 35094-1116 2056990729

JACQUELINE HANCOCK 1700 6TH AVE SOUTH BIRMINGHAM,AL 35233-1802 2059963130

JACQUELINE P HANCOCK 1500 6TH AVENUE SOUTH BIRMINGHAM,AL 35294-0026 2059342170

JACQUELINE P HANCOCK 619 19TH STREET S BIRMINGHAM,AL 35249-1900 2059344011

YOCUNDA CLAYTON 1600 20TH STREET SOUTH BIRMINGHAM,AL 35205-4998 2052125600

CHARLES G BANKS 2006 BKWD MD CT DR 301WMP BIRMINGHAM,AL 35209-6899 2058772121

ELIZABETH A BARRON 2006 BROOKWOOD MED CTR DRIVE #600 BIRMINGHAM,AL 35209-6885 2058772971

ELIZABETH H KIM 2010 BROOKWOOD MEDICAL CTR DR BIRMINGHAM,AL 35209-6804 8009672289

ELIZABETH H KIM 800 SAINT VINCENTS DR STE 500 BIRMINGHAM,AL 35205-1629 2059338334

CEDRIC T HARRIS 2006 BWMC DR WMP STE 710 BIRMINGHAM,AL 35209-6894 2058701262

TIMOTHY L STONE 2700 10TH AVENUE SOUTH SUITE 306 BIRMINGHAM,AL 35205-1248 8779334020

BETHANY M CAMPBELL 806 ST. VINCENTS DRIVE SUITE 450 BIRMINGHAM,AL 35205-1616 2055367676

JOHN M MORGAN 2006 BROOKWOOD MED CTR DR. STE. 202 BIRMINGHAM,AL 35209-6899 2053978850

37 - Jefferson

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Alabama Medicaid Agency Delivering Healthcare Provider List

Maternity Care ServicesApril 2018

ASHLEY A TAMUCCI 2006 BROOKWOOD MED CTR. DR. STE. 310 BIRMINGHAM,AL 35209-6823 2058772121

DAVID S MCKEE 800 ST VINCENTS DR #500 BIRMINGHAM,AL 35205-1629 2059338334

AMELIA L SUTTON 1400 6TH AVE SOUTH BIRMINGHAM,AL 35233-1502 2059301093

AMELIA L SUTTON 1500 6TH AVE S BIRMINGHAM,AL 35233-1602 2059342170

AMELIA L SUTTON 1600 7TH AVE S BIRMINGHAM,AL 35233-1711 2059399100

AMELIA L SUTTON 2000 6TH AVE S BIRMINGHAM,AL 35233-2110 2059349999

AMELIA L SUTTON 619 19TH STREET S BIRMINGHAM,AL 35249-1900 2059344011

CAROL SWINDLE 806 SAINT VINCENTS DR STE 500 BIRMINGHAM,AL 35205-1616 2059301800

BRIAN P GLEASON 2000 6TH AVE SOUTH BIRMINGHAM,AL 35233-2110 2059343830

ASHLEY D WRIGHT 1500 6TH AVENUE SOUTH BIRMINGHAM,AL 35294-0026 2059342170

ASHLEY D WRIGHT 2321 JOHN HAWKINS PARKWAY HOOVER,AL 35244-3543 2059897254

ASHLEY D WRIGHT 619 19TH STREET S BIRMINGHAM,AL 35249-1900 2059344011

EMILY K OSMAN 1201 11TH AVE S BIRMINGHAM,AL 35205-3410 2059307100

EMILY K OSMAN 1700 6TH AVE S BIRMINGHAM,AL 35233-1802 2059963130

EMILY K OSMAN 2000 6TH AVE S BIRMINGHAM,AL 35233-2110 2059349999

EMILY K OSMAN 619 19TH STREET S BIRMINGHAM,AL 35249-1900 2059344011

JOHN B WOODS 1500 6TH AVENUE SOUTH BIRMINGHAM,AL 35294-0026 2059342170

JOHN B WOODS 619 19TH STREET S BIRMINGHAM,AL 35249-1900 2059344011SUSANNA E CARTER 800 SAINT VINCENTS DR STE 500 BIRMINGHAM,AL 35205-1629 2059338334

ELIZABETH THOMAS 2407 HELTON DR FLORENCE,AL 35630-1067 2567185900

BARBARA G FRAZIER 2407 HELTON DRIVE FLORENCE,AL 35630-1067 2567185900

MARY E ROBBINS 541 W. COLLEGE STREET FLORENCE,AL 35630-5323 2567642482

PHILIP M WAKEFIELD 2407 HELTON DR FLORENCE,AL 35630-1067 2567185900

LISA M CHRISTIAN MD 402 E DR HICKS BLVD FLORENCE,AL 35630-5763 2563495187

BRENT J HURD 2407 HELTON DR FLORENCE,AL 35630-1067 2567185900

GEORGE S ALLEN III 162 TITAN DR FLORENCE,AL 35630-1197 2567642498

STEPHEN D KEITH 541 W COLLEGE ST STE 2600 FLORENCE,AL 35630-5365 2567662600

RITA K WILLI A KIRCHLER 2407 HELTON DRIVE FLORENCE,AL 35630-1067 2567185900

JOHN L MUSGROVE 2407 HELTON DR FLORENCE,AL 35630-1067 2567185900

SEABORN CHAPPELL 2407 HELTON DR FLORENCE,AL 35630-1067 2567185900DAPHNE L JONES 541 W. COLLEGE STREET FLORENCE,AL 35630-5323 2567642482

OSCAR D ALMEIDA 151 N 20TH ST OPELIKA,AL 36801-5423 3342031777

OSCAR D ALMEIDA 2415 MOORES MILL RD UNIT 230 AUBURN,AL 36830-8483 3345021117

OSCAR D ALMEIDA 5415 SUMMERVILLE RD STE B PHENIX CITY,AL 36867-7366 3343849411

STEPHEN E LITSEY 121 N 20TH ST #2 OPELIKA,AL 36801-5409 3347456447

STEPHEN E LITSEY 986 DREW LANE AUBURN,AL 36830-4302 3347456447

GWEN MINDA COOPER 502 E THOMASON CIR OPELIKA,AL 36801-5432 3347490390

ROBERT MARINO 121 NORTH 20TH STREET # 2 OPELIKA,AL 36801-5409 3347456447

ROBERT M MARINO 2000 PEPPERELL PKY OPELIKA,AL 36801-5452 3347456447

41 - Lee

39 - Lauderdale

37 - Jefferson

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Alabama Medicaid Agency Delivering Healthcare Provider List

Maternity Care ServicesApril 2018

ROBERT M MARINO 986 DREW LANE AUBURN,AL 36830-4302 3347456447

MITCHELL W ALVERSON 2000 PEPPERELL PKY OPELIKA,AL 36801-5452 3347370016

MITCHELL W ALVERSON 986 DREW LANE AUBURN,AL 36830-4302 3347456447

MITCHELL W ALVERSON JR 121 NORTH 20TH STREET #2 OPELIKA,AL 36801-5409 3347456447

KERRI F HENSARLING 121 N 20TH STREET # 2 OPELIKA,AL 36801-5409 3347456447

KERRI F HENSARLING 2000 PEPPERELL PKY OPELIKA,AL 36801-5452 3347456447

KERRI F HENSARLING 986 DREW LANE AUBURN,AL 36830-4302 3347456447

KIMBERLY D FIELDS 1711 PEPERELL PARKWAY OPELIKA,AL 36801-5548 3347562496

WESLEY C CHAMBERS 5009 RIVERCHASE DRIVE BUILDING 600, SUITE APHENIX CITY,AL 36867-7425 7063231054

WILLIAM L GOLDEN 121 N 20TH STREET #2 OPELIKA,AL 36801-5409 3347456447

WILLIAM L GOLDEN 2000 PEPPERELL PKWY OPELIKA,AL 36801-5452 3347456447

WILLIAM L GOLDEN 986 DREW LANE AUBURN,AL 36830-4302 3348213358

MARY M KARST 2000 PEPPERELL PARKWAY OPELIKA,AL 36801-5452 3347493411

NJIDEKA C OBIEKWE 2505 VILLAGE PROFESSIONAL DR OPELIKA,AL 36801-2381 3347052900

R KRAIG SMITH 121 N 20TH STREET #2 OPELIKA,AL 36801-5409 3347456447

ROBERT K SMITH 2000 PEPPERELL PKY OPELIKA,AL 36801-5452 3347456447

ROBERT K SMITH 986 DREW LANE AUBURN,AL 36830-4302 3347456447

JOEL C PITTARD 986 DREW LANE AUBURN,AL 36830-4302 3347456447

KENNETH L HARRIS 121 N 20TH STREET # 2 OPELIKA,AL 36801-5409 3347456447

KENNETH L HARRIS 2000 PEPPERELL PKY OPELIKA,AL 36801-5452 3347370016

KENNETH L HARRIS 986 DREW LANE AUBURN,AL 36830-4302 3348213358

SHARON M BUSH-COAXUM 22335 US HIGHWAY 72 STE C ATHENS,AL 35613-2611 2562335000

SHERI A OWENS 22335 US HIGHWAY 72 STE C ATHENS,AL 35613-2611 2562335000

OLIVER E CARLOTA 1005 W MARKET STREET STE 17 ATHENS,AL 35611-2454 2562333100

MARTHA H ALDRIDGE 22335 US HIGHWAY 72 STE C ATHENS,AL 35613-2611 2562335000

STEPHEN R SHASSBERGER 22335 US HIGHWAY 72 STE C ATHENS,AL 35613-2611 2562335000

MARTHA S MCLAUGHLIN 22335 US HIGHWAY 72 STE C ATHENS,AL 35613-2611 2562335000THOMAS C PITMAN 22335 US HWY 72 STE C ATHENS,AL 35613-2602 2562335000

SHARON L CALLISON 901 ADAMS SE STE 200 HUNTSVILLE,AL 35801- 2562656512

STEPHEN G TYGART 165 WHITESPORT DR SW STE 1 HUNTSVILLE,AL 35801-7427 2568814357

JAMES E SPEED 165 WHITESPORT DR SW STE 1 HUNTSVILLE,AL 35801-7427 2568814357

RAYMOND A LOPEZ 46 SHIELDS ROAD HUNTSVILLE,AL 35811-7800 2563823680

MICHAEL BELMONT 245 GOVERNORS DR SE HUNTSVILLE,AL 35801-2700 2562653880

MICHAEL BELMONT 8375 HIGHWAY 72 W MADISON,AL 35758-9573 2562653880

MICHAEL J BELMONT 101 SIVLEY RD SW HUNTSVILLE,AL 35801-4421 2562653880

MICHAEL J BELMONT 910 ADAMS STREET SUITE 300 HUNTSVILLE,AL 35801- 2565337420

DAVID L SPANGLER 1041 BALCH RD STE 250 DECATUR,AL 35758-8343 2563559711

DAVID L SPANGLER 1041 BALCH RD STE 250 MADISON,AL 35758-8343 2567042235

42 - Limestone

45 - Madison

41 - Lee

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Alabama Medicaid Agency Delivering Healthcare Provider List

Maternity Care ServicesApril 2018

GREGG A DELISLE 910 ADAMS STREET SUIT 300 HUNTSVILLE,AL 35801- 2565337420

CHARLES L MCCAIN 1041 BALCH RD STE 250 MADISON,AL 35758-8343 2567042229

WILLIAM STROUD 1041 BALCH RD SUITE 250 MADISON,AL 35758-8820 2567042229

KAREN G RAIFORD 910 ADAMS STREET STE 200 HUNTSVILLE,AL 35801-3759 2565516512

RACHEL ACUFF 1041 BALCH ROAD SUITE 250 MADISON,AL 35758-8343 2563559711

ASHLEY L MCCLOUD 1041 BALCH RD STE 250 MADISON,AL 35758-8343 2567042229

LYNDA C GILLIAM 245 GOVERNORS DR SE HUNTSVILLE,AL 35801-2700 2562657673

LYNDA GILLIAM 101 SIVLEY RD SW HUNTSVILLE,AL 35801-4421 2562653880

LYNDA GILLIAM 245 GOVERNORS DR SE HUNTSVILLE,AL 35801-2700 2562653880

LYNDA GILLIAM 8375 HIGHWAY 72 W MADISON,AL 35758-9573 2562653880

KEVIN D MCINTOSH 250 CHATEAU DR SW STE 100 HUNTSVILLE,AL 35801-3497 2568819997

RANDALL J WENDT 8121 MADISON BLVD STE 101A MADISON,AL 35758-2082 2563256499

RANDALL WENDT 1 HOSPITAL DR SW STE 202 HUNTSVILLE,AL 35801-3495 2654295285

FRANK J KELLY 3601 CCI DR NW STE 220 HUNTSVILLE,AL 35805-2610 2562654600

LILITH R WHYTE 185 WHITESPORT DR SW SUITE 6 HUNTSVILLE,AL 35801-6486 2569377050

MARK T PURVIS 1041 BALCH RD, SUITE 250 MADISON,AL 35758-8343 2567042229

MARK T PURVIS 8371 HIGHWAY 72 W STE 100 MADISON,AL 35758-9505 2567042229

ANTONIO GONZALEZ-RUIZ 2006 FRANKLIN ST SE STE 207 HUNTSVILLE,AL 35801-4537 8666838664

ANTONIO R GONZALEZ-RUIZ 101 SIVLEY RD SW HUNTSVILLE,AL 35801-4421 2058775113

JACQUELINE Y SYLVESTER 235 PORTAL LANE SUITE A MADISON,AL 35758-5827 2564611766

RICHARD STAN HARRIS 920 FRANKLIN ST SE HUNTSVILLE,AL 35801-4312 2565331588

JOHN R HOGAN 699 GALLATIN ST SW STE B1 HUNTSVILLE,AL 35801-4912 2565322723

JAMES C NIX 204 LOWE AVE. STE. 11 HUNTSVILLE,AL 35801-4254 2565338787

MARGARET F CARTER 910 ADAMS ST. SUITE 100 HUNTSVILLE,AL 35801-3751 2562650880

GARY D PUGH 245 GOVERNORS DR SE HUNTSVILLE,AL 35801-2700 2562653880

GARY D PUGH 245 GOVERNORS DR SE HUNTSVILLE,AL 35801-2700 2562657673

GARY PUGH 101 SIVLEY RD SW HUNTSVILLE,AL 35801-4421 2562653880

GARY PUGH 8375 HIGHWAY 72 W MADISON,AL 35758-9573 2562653880

TYLER O KIRBY 3601 CCI DR NW STE 220 HUNTSVILLE,AL 35805-2610 2565336233

CHARLES WARREN 910 ADAMS ST SE STE 300 HUNTSVILLE,AL 35801-3757 2565337420

EDITH A AGUAYO 610 AIRPORT RD SUITE 210 HUNTSVILLE,AL 35802-7419 2568821785

DAVID B ENGLE 101 SIVLEY ROAD SUITE 620 HUNTSVILLE,AL 35801-4421 2562654600

DAVID B ENGLE 201 SIVLEY RD STE 620 HUNTSVILLE,AL 35801-5102 2562654600

YASHICA R WHITE 612 MADISON ST SE HUNTSVILLE,AL 35801-4401 2567630036

45 - Madison

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Alabama Medicaid Agency Delivering Healthcare Provider List

Maternity Care ServicesApril 2018

SHANNA V SHUMAKER 910 ADAMS ST SE STE 300 HUNTSVILLE,AL 35801-3757 2565337420

KARI M KUBIK 204 LOWE AVE SE STE 1 STE 2 HUNTSVILLE,AL 35801-4242 2565355940

WHITNEY E DUNHAM 1 HOSPITAL DRIVE SUITE 202 HUNTSVILLE,AL 35801-3495 2564295285

EMILY F EVITT 250 CHATEAU DR SW STE 100 HUNTSVILLE,AL 35801-3497 2568819997

MISTYE D TAYLOR 101 SIVLEY RD SW HUNTSVILLE,AL 35801-4421 2562653880

MISTYE TAYLOR 245 GOVERNORS DR SE HUNTSVILLE,AL 35801-2700 2562653880

MISTYE TAYLOR 245 GOVERNORS DR SE HUNTSVILLE,AL 35801-2700 2562657673

MISTYE TAYLOR 8375 HIGHWAY 72 W MADISON,AL 35758-9573 2562653880

ALLISON P WARREN 320 PELHAM AVE. SW SUITE 300 HUNTSVILLE,AL 35801-5016 2567599269

ALLISON P WARREN 910 ADAMS ST SE STE 200 HUNTSVILLE,AL 35801-3759 2562656512

RAYMOND L SHEPPARD 420 LOWELL DR STE 400 HUNTSVILLE,AL 35801-3761 2562652555

AMY M TAKACS 101 SIVLEY RD SW HUNTSVILLE,AL 35801-4421 2562653880

AMY M TAKACS 245 GOVERNORS DR SE HUNTSVILLE,AL 35801-2700 2562653880

AMY M TAKACS 245 GOVERNORS DR SE HUNTSVILLE,AL 35801-2700 2562657673

AMY TAKACS 8375 HIGHWAY 72 W MADISON,AL 35758-9573 2562653880

HUGH W BAILEY 4650 WHITESBURG DRIVE SE HUNTSVILLE,AL 35802-1671 2563825210

JEANINE LONCAR 910 ADAMS STREET SUITE 300 HUNTSVILLE,AL 35801-7420 2565337420

ROBIN B CARDWELL 910 ADAMS ST SE STE 200 HUNTSVILLE,AL 35801-3759 2562656512

LEON LEWIS 245 GOVERNORS DR SE HUNTSVILLE,AL 35801-2700 2562653880

LEON LEWIS 245 GOVERNORS DR SE HUNTSVILLE,AL 35801-2700 2562657673

LEON LEWIS 8375 HIGHWAY 72 W MADISON,AL 35758-9573 2562653880

LEON W LEWIS 420 LOWELL DRIVE SUITE 401 HUNTSVILLE,AL 35802-3761 2564898845

TIMOTHY MCMICHENS 100 SIVLEY ROAD HUNTSVILLE,AL 35801- 2562653880

TIMOTHY MCMICHENS 245 GOVERNORS DR SE HUNTSVILLE,AL 35801-2700 2562653880

TIMOTHY MCMICHENS 8375 HIGHWAY 72 W MADISON,AL 35758-9573 2562653880

TIMOTHY T MCMICHENS 245 GOVERNORS DRIVE SE HUNTSVILLE,AL 35801-3750 2562657673

DAVID L RUSHING 910 ADAMS STREET SUITE 300 HUNTSVILLE,AL 35801- 2565337420

JOHN D WHEELER 910 ADAMS STREET SUITE 300 HUNTSVILLE,AL 35801-3757 2565337420

RACHEL R PETERSON ONE HOSPITAL DRIVE SUITE 201 CMP2 HUNTSVILLE,AL 35801-7420 2564892442

MICHEAL J CONRAD 250 CHATEAU DR STE 100 HUNTSVILLE,AL 35801-3497 2568819997

ERIC A TALLENT 401 LOWELL DR SE STE 11 HUNTSVILLE,AL 35801-3738 2562656550

ANNE M REIDY 320 PELHAM AVE. SW SUITE 300 HUNTSVILLE,AL 35801-5016 2567599269

DONALD G AULDS 401 LOWELL DR SE STE 9 HUNTSVILLE,AL 35801-3738 2565331244

CELSO A HERNANDEZ 910 ADAMS ST SE STE 100 HUNTSVILLE,AL 35801-3751 2562650880

45 - Madison

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Alabama Medicaid Agency Delivering Healthcare Provider List

Maternity Care ServicesApril 2018

KAREN L SAMPLES 910 ADAMS ST SE STE 300 HUNTSVILLE,AL 35801-3757 2565337420

JOSEPH A FIORE JR 245 GOVERNORS DR SE HUNTSVILLE,AL 35801-2700 2562657673

JOSEPH A FIORE JR 420 LOWELL DR STE 400 HUNTSVILLE,AL 35801-3761 2562652555

JOSEPH A FIORE JR 8375 HIGHWAY 72 W MADISON,AL 35758-9573 2562653880

JOSEPH FIORE 245 GOVERNORS DR SE HUNTSVILLE,AL 35801-2700 2562653880

KRISTINE R GRAETTINGER 108 US HIGHWAY 80 E DEMOPOLIS,AL 36732-3600 2053481770

JOHN T MCDONALD 108 US HIGHWAY 80 E DEMOPOLIS,AL 36732-3600 2053481770CECILY A COLLINS 108 US HIGHWAY 80 E DEMOPOLIS,AL 36732-3600 2053481770

TED R COX 191 CARRAWAY DR STE A-1 WINFIELD,AL 35594-5067 2054871203WILLIAM L LENAHAN 200 CARRAWAY DRIVE STE B-2 WINFIELD,AL 35594-5048 2054872004

DONALD F SLAPPEY 601 B MEDICAL CENTER PKWY BOAZ,AL 35957-5937 2565939070

SUMMERS W TAYLOR III 2505 HWY 431 SUITE A BOAZ,AL 35957-5908 2568404530

MELVIN D THORNBURY JR 415 MARTLING RD ALBERTVILLE,AL 35951-7209 2566605560

ANDREA M JOHNSON 8000 AL HWY 69 GUNTERSVILLE,AL 35976-7140 2568938310

ANDREANA JOHNSON 2505 US HWY 431 STE B BOAZ,AL 35957-5908 2568403396

ANDREANA M JOHNSON 2505 US HWY 431 N BOAZ,AL 35957-0758 2565938310

ANDREANA M JOHNSON 2525 US HWY 431 STE 200 BOAZ,AL 35957-5967 2568404551

MARY F HOLLEY 2001 GUNTER AVE GUNTERSVILLE,AL 35976-2126 2562640818

STEPHEN SHASSBERGER 2505 US HWY 431 BOAZ,AL 35957-0758 2055938310

STEPHEN SHASSBERGER 2505 US HWY 431 STE B BOAZ,AL 35957-5908 2568403396

STEPHEN SHASSBERGER 2525 US HIGHWAY 431 STE 200 BOAZ,AL 35957-5967 2058404551

STEPHEN SHASSBERGER 8000 AL HWY 69 GUNTERSVILLE,AL 35976-7140 2055718000

MEGAN E ZEIEN 55 ROWE DR STE A GUNTERSVILLE,AL 35976-7366 2565718470

MEGAN E ZEIEN 8000 AL HWY 69 GUNTERSVILLE,AL 35976-7140 2565718000

PERRY L JUSTICE 55 ROWE DR STE A GUNTERSVILLE,AL 35976-7366 2565718470

PERRY L JUSTICE 8000 AL HWY 69 GUNTERSVILLE,AL 35976-7140 2565718000

KATELYN V BRASWELL 3715 DAUPHIN ST STE 3B MOBILE,AL 36608-1764 2513445900

SACHEEN CARR ELLIS 717 DOWNTOWNER LOOP W MOBILE,AL 36609-5503 4046889300

KRISHNA K PASALA 510 S WILSON AVE PRICHARD,AL 36610-3912 2513017000

BRANDI W TRAMMELL 6701 AIRPORT BLVD STE B321 MOBILE,AL 36608-6703 2516330793

ROYSHANDA SMITH 120 N LAFAYETTE ST MOBILE,AL 36604-2258 2517534328

CRAIG D SHERMAN 1610 CENTER STREET STE C MOBILE,AL 36604-1512 2514343626

CRAIG D SHERMAN 1700 CENTER ST MOBILE,AL 36604-3301 2516658000

CRAIG D SHERMAN 1707 CENTER STREET STE 102 MOBILE,AL 36604-3207 2514151496

CRAIG D SHERMAN 1720 CENTER STREET STE 101 MOBILE,AL 36604-3300 2514151496

49 - Mobile

48 - Marshall

47 - Marion

46 - Marengo

45 - Madison

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Alabama Medicaid Agency Delivering Healthcare Provider List

Maternity Care ServicesApril 2018

CRAIG SHERMAN 1601 CENTER ST STE 3S MOBILE,AL 36604-9999 2514151496

CRAIG SHERMAN 248 COX ST STE B MOBILE,AL 36604-3303 2516908930

CHARLES M ROGERS 3715 DAUPHIN ST STE 3B MOBILE,AL 36608-1764 2513445900

KENDAL I FOSTER 1701 SPRINGHILL AVE MOBILE,AL 36604-1402 2514338838

ROBERT A WOOD 6701 AIRPORT BLVD STE B321 MOBILE,AL 36608-6703 2516330793

JOHN M IVES JR 3 MOBILE INFIRMARY CIRCLE SUITE 401 MOBILE,AL 36607-3512 2514357800

KIRBY J PLESSALA 6701 AIRPORT BLVD #B321 MOBILE,AL 36608-6703 2516330793

IAN H THORNEYCROFT 248 COX STREET SUITE B MOBILE,AL 36604-3303 2516908935

IAN H THORNEYCROFT 251 N BAYOU ST MOBILE,AL 36603-5827 2516908158

AMY MCCOY 3 MOBILE INFIRMARY CIR STE 401 MOBILE,AL 36607-3512 2514357800

AMY M MCCOY 3715 DAUPHIN ST STE 3B MOBILE,AL 36608-1764 2513445900

SHAWN J KLEINPETER 6701 AIRPORT BLVD STE B321 MOBILE,AL 36608-6703 2516330793

NATHANIEL L JONES 1660 SPRING HILL AVE MOBILE,AL 36604-1405 2516658000

SHARON M BUSH-COAXUM 248 COX STREET SUITE B MOBILE,AL 36613-3303 2516908935

SHARON M BUSH-COAXUM 248 COX ST STE A MOBILE,AL 36604-3303 2514054524

SHARON M BUSH-COAXUM 251 N BAYOU ST MOBILE,AL 36603-5827 2516908847

SHARON M BUSH-COAXUM 3810 WULFF RD E SEMMES,AL 36575-5256 2514450582

SHARON M BUSH-COAXUM 4547 ST STEPHENS ROAD EIGHT MILE,AL 36613-3563 2514561399

PATTON P MORRISON 3 MOBILE INFIRMARY CIR STE 201 MOBILE,AL 36607-3514 2514357900

NICOLETTE HOLLIDAY 1303 DR MARTIN L KING JR AVE MOBILE,AL 36603-5341 2514324117

NICOLETTE HOLLIDAY 1601 CENTER ST STE 3S MOBILE,AL 36604-9999 2514151496

NICOLETTE P HOLLIDAY 12701 PADGETT SWITCH RD IRVINGTON,AL 36544-4011 2518242174

NICOLETTE P HOLLIDAY 1610 CENTER STREET STE C MOBILE,AL 36604-1512 2514151496

NICOLETTE P HOLLIDAY 1700 CENTER ST MOBILE,AL 36604-3301 2514151566

NICOLETTE P HOLLIDAY 1707 CENTER STREET STE 102 MOBILE,AL 36604-3207 2514151496

NICOLETTE P HOLLIDAY 1720 CENTER STREET STE 101 MOBILE,AL 36604-3300 2514151496

KAREN ANDERSON 1700 CENTER ST MOBILE,AL 36604-3301 2514151000

STEPHEN T VARNER 12701 PADGETT SWITCH RD IRVINGTON,AL 36544-4011 2518242174

STEPHEN T VARNER 1303 DR MARTIN L KING JR A MOBILE,AL 36603-5341 2514324117

STEPHEN T VARNER 1720 CENTER STREET STE 101 MOBILE,AL 36604-3300 2514151496

STEPHEN VARNER 1601 CENTER ST STE 3S MOBILE,AL 36604-9999 2514151496

STEPHEN VARNER 1610 CENTER STREET STE C MOBILE,AL 36604-1512 2514151496

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Alabama Medicaid Agency Delivering Healthcare Provider List

Maternity Care ServicesApril 2018

STEPHEN VARNER 1700 CENTER ST MOBILE,AL 36604-3301 2514151566

STEPHEN VARNER 1707 CENTER STREET STE 102 MOBILE,AL 36604-3207 2514151496

ERIN S SAUCIER 3715 DAUPHIN ST #3B MOBILE,AL 36608-1764 2513445900

JOHN C LAFLEUR 12701 PADGETT SWITCH RD IRVINGTON,AL 36544-3318 2518242174

JOHN C LAFLEUR 1610 CENTER STREET STE C MOBILE,AL 36604-1512 2514151496

JOHN C LAFLEUR 1707 CENTER STREET STE 102 MOBILE,AL 36604-3207 2514151496

JOHN C LAFLEUR 1720 CENTER STREET STE 101 MOBILE,AL 36604-3300 2514151496

JOHN C LAFLEUR 248 COX ST MOBILE,AL 36604-3303 2516908935

JOHN LAFLEUR 1303 DR M L KING JR AVE MOBILE,AL 36603-5341 2514324117

JOHN LAFLEUR 1601 CENTER ST STE 3S MOBILE,AL 36604- 2514151496

QUIN A BIXLER 1720 SPRING HILL AVENUE SUITE 400 MOBILE,AL 36604-1404 2514357700

QUIN A BIXLER 3 MOBILE INFIRMARY CIR STE 201 MOBILE,AL 36607-3514 2514357900

MICHAEL D BOWMAN 6701 AIRPORT BLVD SUITE B 216 MOBILE,AL 36608-3764 2516338830

JEAN A SANSARICQ 524 STANTON ROAD MOBILE,AL 36617-2343 2514790058

SHERI OWENS 1303 DR MARTIN LUTHER KING MOBILE,AL 36603-3301 2514324117

JULIE G GRINSTEAD 6701 AIRPORT BLVD #B321 MOBILE,AL 36608-6703 2516330793

RONALD W CLARKE 1155 HILLCREST ROAD MOBILE,AL 36695-3921 2516341250

DANILO V HERRERA 3715 DAUPHIN STREET #3B MOBILE,AL 36608-1764 2513445900

BASSAM H RIMAWI 1601 CENTER ST STE 3S MOBILE,AL 36604-1541 2514151495

BASSAM H RIMAWI 1610 CENTER ST STE C MOBILE,AL 36604-1512 2514151496

HENRY J KOCH 248 COX ST #B MOBILE,AL 36604-3303 2516908935

HOPE M MCLEAN 6701 AIRPORT BLVD B321 MOBILE,AL 36608-6705 2516330793

ELISABETH D TUCKER 1610 CENTER ST STE C MOBILE,AL 36604-1512 2514151496

ELISABETH D TUCKER 1720 CENTER ST STE 101 MOBILE,AL 36604-3300 2514151496

CHRISTEN ALTERMATT 1601 CENTER ST STE 3S MOBILE,AL 36604-1512 2514151496

CHRISTEN M ALTERMATT 1610 CENTER STREET STE C MOBILE,AL 36604-1512 2514151496

MICHAEL A FINAN 1660 SPRINGHILL AVENUE MOBILE,AL 36604-1405 2516658000

MONICA C TAYLOR 12701 PADGETT SWITCH RD IRVINGTON,AL 36544-4011 2518242174

SUSAN L BAKER 1601 CENTER STREET STE 3S MOBILE,AL 36604-0000 2514151450

SUSAN L BAKER 1610 CENTER STREET STE C MOBILE,AL 36604-1512 2514151496

SUSAN L BAKER 1707 CENTER STREET STE 102 MOBILE,AL 36604-3207 2514151496

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Alabama Medicaid Agency Delivering Healthcare Provider List

Maternity Care ServicesApril 2018

SUSAN L BAKER 1720 CENTER STREET STE 101 MOBILE,AL 36604-3300 2514151496

BRIAN E BROCATO 1601 CENTER STREET STE 3S MOBILE,AL 36604- 2514151450

BRIAN E BROCATO 1610 CENTER STREET STE C MOBILE,AL 36604-1512 2514151496

BRIAN E BROCATO 1707 CENTER STREET STE 102 MOBILE,AL 36604-3207 2514151496

BRIAN E BROCATO 1720 CENTER STREET STE 101 MOBILE,AL 36604-3300 2514151496

MELINDA A FRAME 6701 AIRPORT BLVD STE B321 MOBILE,AL 36608-6703 2516330793

FRANKIE L BODIE 12701 PADGETT SWITCH ROAD IRVINGTON,AL 36544-4011 2518242174

FRANKIE L BODIE 1303 MARTIN L KING JR AVE MOBILE,AL 36603-5341 2564324117

FRANKIE L BODIE 1601 CENTER ST STE 3S MOBILE,AL 36604- 2514151949

FRANKIE L BODIE 1610 CENTER STREET STE C MOBILE,AL 36604-1512 2514151496

FRANKIE L BODIE 1700 CENTER ST MOBILE,AL 36604-3301 2514151000

FRANKIE L BODIE 1700 CENTER ST MOBILE,AL 36604-3301 2516658800

FRANKIE L BODIE 1707 CENTER STREET STE 102 MOBILE,AL 36604-3207 2514151496

FRANKIE L BODIE 1720 CENTER STREET STE 101 MOBILE,AL 36604-3300 2514151496

FRANKIE L BODIE 248 COX STREET SUITE A MOBILE,AL 36604-3303 2514054524

HEDWIGE SAINT LOUIS 717 DOWNTOWNER LOOP W MOBILE,AL 36609-5503 4046889300

SUSAN VANCE 1720 SPRING HILL AVENUE SUITE 400 MOBILE,AL 36604-1410 2514357700

MARGARET MCGRATH 1720 SPRING HILL AVENUE SUITE 400 MOBILE,AL 36604-1410 2514357700

HELEN H ROGERS 3715 DAUPHIN ST STE 3B MOBILE,AL 36608-1764 2513445900

CHARLES HANES 3 MOBILE INFIRMARY CIR STE 401 MOBILE,AL 36607-3512 2514357800

CHARLES R HANES II 1601 CENTER ST. SUITE 3S MOBILE,AL 36604-1512 2514151496

JENNIFER M SCALICI 1660 SPRING HILL AVE MOBILE,AL 36604-1405 2516658000

BRITTNEY LAUGHLIN 1720 SPRING HILL AVENUE SUITE 400 MOBILE,AL 36604-1410 2514357700

JENNIFER A CUNNINGHAM 3 MOBILE INFIRMARY CIRCLE MOBILE,AL 36607-3520 2514357913

RAYMOND C DECESARE II 1601 CENTER ST. STE. 3S MOBILE,AL 36604-1512 2514151496

DAVID C CARPENTER 3 MOBILE INFIRMARY CIR STE 201 MOBILE,AL 36607-3514 2514357900

WILLIAM J URQUHART 3715 DAUPHIN ST #3B MOBILE,AL 36608-1764 2513445900

STERLING W MCCOLGIN 1601 CENTER ST STE 3S MOBILE,AL 36604-1541 2514343626

AMELIA R HEWES 12701 PADGETT SWITCH RD IRVINGTON,AL 36544-4011 2518242174

AMELIA R HEWES 1303 DR MARTIN L KING JR AVE MOBILE,AL 36603-5341 2514324117

AMELIA R HEWES 1601 CENTER ST. STE. 3S MOBILE,AL 36604-1512 2514151496

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Alabama Medicaid Agency Delivering Healthcare Provider List

Maternity Care ServicesApril 2018

AMELIA R HEWES 1610 CENTER ST STE C MOBILE,AL 36604-1512 2514151496

AMELIA R HEWES 1720 CENTER ST STE 101 MOBILE,AL 36604-3300 2514151496

BOTROS M RIZK 1707 CENTER STREET STE 102 MOBILE,AL 36604-3207 2514151496

BOTROS RIZK 1601 CENTER ST STE 3S MOBILE,AL 36604-0000 2514151496

BOTROS RIZK 1610 CENTER STREET STE C MOBILE,AL 36604-1512 2514151496

BOTROS RIZK 1720 CENTER STREET STE 101 MOBILE,AL 36604-3300 2514151496

PHILLIP MADONIA 6701 AIRPORT BLVD STE B321 MOBILE,AL 36608-6799 2516330793

TRACEY Y ROTH 1303 DR MARTIN L KING JR AVE MOBILE,AL 36603-5341 2514367646

TRACY Y ROTH 12701 PADGETT SWITCH RD IRVINGTON,AL 36544-4011 2518242174

TRACY Y ROTH 1601 CENTER ST STE 3S MOBILE,AL 36604-0000 2514151496

TRACY Y ROTH 1610 CENTER STREET STE C MOBILE,AL 36604-1512 2514151496

TRACY Y ROTH 1700 CENTER ST MOBILE,AL 36604-3301 2516658000

TRACY Y ROTH 1707 CENTER ST STE 102 MOBILE,AL 36604-3305 2514151496

TRACY Y ROTH 1720 CENTER STREET STE 101 MOBILE,AL 36604-3300 2514151496

LISA B SPIRYDA 1601 CENTER ST, STE 3S MOBILE,AL 36604-1541 2514151496

LISA B SPIRYDA 1610 CENTER ST STE C MOBILE,AL 36604-1512 2514151496

JAMES RANDY BENTLEY 3 MOBILE INF CIRCLE #201 MOBILE,AL 36607-3514 2514357900

THEODORE CATRANIS 1720 SPRINGHILL AVE STE 400 MOBILE,AL 36604-1416 2514357700

THEODORE N CATRANIS 3 MOBILE INFIRMARY CIR STE 401 MOBILE,AL 36607-3512 2514357800

RICHARD L OTTS 3 MOBILE INFIRMARY CR 201 MOBILE,AL 36607-3514 2514357900

CARA B LENZ 3715 DAUPHIN ST BLDG 2 #3B MOBILE,AL 36608-1764 2513445900

WILSANIA L RODRIGUEZ MENDEZ 12701 PADGETT SWITCH RD IRVINGTON,AL 36544-4011 2518242174

JOHN M VAL-GALLAS 3715 DAUPHIN STREET BLDG 2 STE 3B MOBILE,AL 36608-1764 2513445900

LINDSAY HARBIN 16 MEDICAL CENTER DR MONROEVILLE,AL 36460-3036 2515753266

ANGELA A POWELL 1075 DREWRY RD STE B MONROEVILLE,AL 36460-2839 2515755988

TWYLA NORSWORTHY 16 MEDICAL CENTER DR MONROEVILLE,AL 36460-3036 2515753266JEANA E BLALOCK 16 MEDICAL CENTER DR MONROEVILLE,AL 36460-3036 2515753266

VICTOR E PENA 1357 CARMICHAEL RD. MONTGOMERY,AL 36106-3629 3343567749

VICTOR E PENA 2173 NORMANDIE DRIVE MONTGOMERY,AL 36111-2728 3342842355

VICTOR PENA 2055 E SOUTH BLVD SUITE 806 MONTGOMERY,AL 36116-2007 3342883400

VICTOR PENA 2455 BELL ROAD MONTGOMERY,AL 36117-4336 3342842355

VICTOR PENA 4371 NARROW LANE ROAD SUITE 100 MONTGOMERY,AL 36116-2975 3346133680

GREGORY A WALLER 4371 NARROW LANE RD STE 100 MONTGOMERY,AL 36116-2975 3346133680

51 - Montgomery

50 - Monroe

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Alabama Medicaid Agency Delivering Healthcare Provider List

Maternity Care ServicesApril 2018

GREGORY A WALLER 495 TAYLOR RD MONTGOMERY,AL 36117-3513 3342799333

JENNIFER J LOGAN 287 MITYLENE PARK DR MONTGOMERY,AL 36117-0000 3342904200

GREGORY JONES 1725 PARK PL MONTGOMERY,AL 36106-1123 3342402337

GREGORY P JONES 1758 PARK PL STE 301 MONTGOMERY,AL 36106-1137 3342402337

GREGORY P JONES 470 TAYLOR RD STE 300 MONTGOMERY,AL 36117-7130 3342811191

ARTHUR M BRITTON 470 TAYLOR RD. STE. 300 MONTGOMERY,AL 36117-7130 3342811191

RALPH M GARRARD 287 MITYLENE PARK DR MONTGOMERY,AL 36117-3547 3342904200

BENJAMIN C GRIGGS 4371 NARROW LANE RD STE 100 MONTGOMERY,AL 36116-2975 3346133680

BENJAMIN C GRIGGS 495 TAYLOR RD MONTGOMERY,AL 36117-3513 3342799333

ROOSEVELT MCCORVEY 2055 E SOUTH BLVD SUITE 806 MONTGOMERY,AL 36116-2007 3342883400

ROOSEVELT MCCORVEY 2455 BELL ROAD MONTGOMERY,AL 36117-4336 3342842355

ROOSEVELT MCCORVEY 3088 ROSA L PARKS AVE MONTGOMERY,AL 36105-1502 3342620259

ROOSEVELT MCCORVEY 4371 NARROW LANE ROAD SUITE 100 MONTGOMERY,AL 36116-2975 3346133680

ROOSEVELT MCCORVEY 470 TAYLOR RD MONTGOMERY,AL 36117-3563 3343564873

ROOSEVELT MCCORVEY 8134 SEATON PLACE MONTGOMERY,AL 36116-7204 3343564873

WILLIAM A NEWMAN III 287 MITYLENE PARK DRIVE MONTGOMERY,AL 36117-3547 3342904200

CHARLES D WILLIAMS 7040 A SYDNEY CURVE MONTGOMERY,AL 36117-3508 3344099550

DAVID L KOURI 1758 PARK PLACE STE 201 MONTGOMERY,AL 36106-1134 3342863630

HENRY G JOHNSON 1845 CHERRY ST MONTGOMERY,AL 36107-2613 3344205001

HENRY G JOHNSON 2055 E SOUTH BLVD SUITE 806 MONTGOMERY,AL 36116-2007 3342883400

HENRY G JOHNSON 2455 BELL RD MONTGOMERY,AL 36117-4336 3342842355

HENRY G JOHNSON 2601 WOODLEY PARK DR MONTGOMERY,AL 36116-3834 3342883400

HENRY G JOHNSON 3060 MOBILE HWY MONTGOMERY,AL 36108-4027 3342632301

HENRY G JOHNSON 4371 NARROW LANE RD STE 100 MONTGOMERY,AL 36116-2975 3346133680

PAULA J SULLIVAN 4371 NARROW LANE RD STE 100 MONTGOMERY,AL 36116-2975 3346133680

PAULA J SULLIVAN 495 TAYLOR RD. MONTGOMERY,AL 36117-3513 3342799333

BRENT B WHIDDON 470 TAYLOR RD STE 300 MONTGOMERY,AL 36117-7130 3342811191

JOE D MCCLINTON 470 TAYLOR RD. STE. 300 MONTGOMERY,AL 36117-7130 3342811191

JASON K GENTRY 1758 PARK PLACE #201 MONTGOMERY,AL 36106-1134 3342633630

LATOYA CLARK 1725 PARK PL MONTGOMERY,AL 36106-1123 3342841500

LATOYA S CLARK 1758 PARK PL STE 406 MONTGOMERY,AL 36106-1135 3342841500

KEITH C MARTIN 4371 NARROW LANE RD STE 100 MONTGOMERY,AL 36116-2975 3346133680

JULIAN E MCINTYRE 2455 BELL RD MONTGOMERY,AL 36117-4336 3342842355

JULIAN E MCINTYRE 2601 WOODLEY PARK DR MONTGOMERY,AL 36116-3834 3342883400

JULIAN E MCINTYRE 4371 NARROW LANE RD STE 100 MONTGOMERY,AL 36116-2975 3346133680

51 - Montgomery

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Alabama Medicaid Agency Delivering Healthcare Provider List

Maternity Care ServicesApril 2018

JULIAN MCINTYRE 2055 E SOUTH BLVD SUITE 806 MONTGOMERY,AL 36116-2007 3342883400

NATALIE R NEEDHAM 4371 NARROW LANE RD STE 100 MONTGOMERY,AL 36116-2975 3346133680

NATALIE R NEEDHAM 495 TAYLOR RD MONTGOMERY,AL 36117-3513 3342799333

WINSTON M ASHURST 287 MITYLENE PARK DR MONTGOMERY,AL 36117-3547 3342904200

JOSEPH A DESAUTELS 4371 NARROW LANE RD STE 100 MONTGOMERY,AL 36116-2975 3346133680

JOSEPH A DESAUTELS 495 TAYLOR ROAD MONTGOMERY,AL 36117-3513 3342799333

FRANKIE KIM WHITTINGTON 1758 PARK PLACE STE 201 MONTGOMERY,AL 36106-1134 3342633630

ROGER SHERMA DUGGAR 2024 CHESTNUT ST MONTGOMERY,AL 36106-1111 3342653543

JUDI A JEHLE 470 TAYLOR RD. STE. 300 MONTGOMERY,AL 36117-7130 3342811191

VICKI F BROOKS 495 TAYLOR RD MONTGOMERY,AL 36117-3513 3342799333

WILLIAM E THOMAS 4371 NARROW LANE RD STE 100 MONTGOMERY,AL 36116-2975 3346133680

WILLIAM E THOMAS 495 TAYLOR RD MONTGOMERY,AL 36117-3513 3342799333

CURLESS A PATTERSON 400 TAYLOR RD MONTGOMERY,AL 36117-3512 4044783017

EDWARD W REED 2024 CHESTNUT ST MONTGOMERY,AL 36106-1111 3342653543

VALERIE A WADDELL 470 TAYLOR RD MONTGOMERY,AL 36117-3563 3342811191

BYRON P LAWHON 287 MITLYLENE PARK DRIVE MONTGOMERY,AL 36117-3547 3342904200

MATTHEW E PHILLIPS 4371 NARROW LANE RD STE 100 MONTGOMERY,AL 36116-2975 3346133680

MATTHEW E PHILLIPS 495 TAYLOR RD MONTGOMERY,AL 36117-3513 3342799333

GLENN J SAUCER 1722 PINE ST STE 603 MONTGOMERY,AL 36106-1114 3342642422

GLENN J SAUCER 1845 CHERRY ST MONTGOMERY,AL 36107-2613 3344205001

WINSTON M ASHURST II 287 MITYLENE PARK DRIVE MONTGOMERY,AL 36117-3547 3342904200

ALLEN R DUPRE 4371 NARROW LANE RD STE 100 MONTGOMERY,AL 36116-2975 3346133680

ALLEN R DUPRE 495 TAYLOR RD MONTGOMERY,AL 36117-3513 3342799333

DONALD K GREEN 225 WINTON BLOUNT LOOP #A MONTGOMERY,AL 36117-1111 3342723639

GRACE THOMAS 201 MONROE ST STE 250 RSA TOWER MONTGOMERY,AL 36104-3788 3342062905

JOSEPH A FERLISI 1845 CHERRY ST MONTGOMERY,AL 36107-2613 3344205001

CHERYL A ZIMMERMAN 2055 E SOUTH BLVD SUITE 806 MONTGOMERY,AL 36116-2007 3342734170

CHERYL A ZIMMERMAN 2173 NORMANDIE DRIVE MONTGOMERY,AL 36111-2728 3342842355

CHERYL A ZIMMERMAN 2455 BELL RD MONTGOMERY,AL 36117-4336 3342842355

CHERYL A ZIMMERMAN 4371 NARROW LANE RD STE 100 MONTGOMERY,AL 36116-2975 3346133680

REBECCA S MILLER 470 TAYLOR ROAD #300 MONTGOMERY,AL 36117-7130 3342811191

ROBERT L BEAIRD JR 495 TAYLOR RD MONTGOMERY,AL 36117-3513 3342799333

CHARLA SMITH 495 TAYLOR RD MONTGOMERY,AL 36117-3513 3342799333

PATRICIA D ELLIOTT 1357 CARMICHAEL WAY MONTGOMERY,AL 36106-3629 3343567749

JAMES R DOCKERY JR 470 TAYLOR RD. STE. 300 MONTGOMERY,AL 36117-7130 3342811191CHRISTOPHER R DUGGAR 2024 CHESTNUT ST MONTGOMERY,AL 36106-1111 3342653545

GERRY ELLIS 1304 13TH AVE SE STE C DECATUR,AL 35601-4316 2563559216

DAVID L SPANGLER 1874 BELTLINE RD SW SUITE 105 DECATUR,AL 35601-5510 2563359711

CHARLES LEE MCCAIN 1874 BELTLINE RD SUITE 105 DECATUR,AL 35601-5510 2563359711

52 - Morgan

51 - Montgomery

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Alabama Medicaid Agency Delivering Healthcare Provider List

Maternity Care ServicesApril 2018

WILLIAM R STROUD III 1874 BELTLINE RD SW DECATUR,AL 35601-5514 2563559711

RACHEL ACUFF 1874 BELTLINE ROAD SW SUITE 105 DECATUR,AL 35601-5514 2563559711

ASHLEY L MCCLOUD 1874 BELTLINE RD SUITE 105 DECATUR,AL 35601-5510 2563359711

JOHN L STAFFORD 1874 BELTLINE RD SUITE 105 DECATUR,AL 35601-5510 2563359711

MITCHELL W SCHUSTER 1874 BELTLINE RD SUITE 105 DECATUR,AL 35601-5510 2563359717

MOSES A AWONIYI 1852 BELTLINE RD SW STE F DECATUR,AL 35601-5518 2563530410

MARK T PURVIS 1304 13TH AVENUE S.E. DECATUR,AL 35601-4359 2563559711

MARK T PURVIS 1874 BELTLINE RD, SW SUITE 105 DECATUR,AL 35601-5541 2563559711

MISHANTA REYES 1304 13TH AVE SE STE A DECATUR,AL 35601-4316 2563401251

EMERALD V SCREWS 1304 13TH AVE SE STE A DECATUR,AL 35601-4316 6018257280

JOHN ASHLEY SHANNON 1874 BELTLINE RD SUITE 105 DECATUR,AL 35601-5510 2563559711

GEORGE W MANIFOLD 1208 SOMERVILLE RD SE DECATUR,AL 35601-4335 2563184380

GEORGE W MANIFOLD 2506 DANVILLE RD SW. STE.204 DECATUR,AL 35603-4232 2566864044

KARI M KUBIK 1208 SOMERVILLE RD SE DECATUR,AL 35601-4335 2565178861

THOMAS RAY 1304 13TH AVE SE STE C DECATUR,AL 35601-4316 2563559216

GEORGE V PEGRAM, III 1304 13TH AVE SE STE A DECATUR,AL 35601-4359 6018257280

ELEANOR L MURRAY 1874 BELTLINE RD SUITE 105 DECATUR,AL 35601-5510 2563359711ANESHA MAXWELL 1304 13TH AVE SE STE A DECATUR,AL 35601-4316 2563401251

53 - Perry YOCUNDA D CLAYTON 100 FRONT ST UNIONTOWN,AL 36786-9999 2058772921

54 - Pickens JOHN T MCDONALD 184 WILLIAM E HILL DR CARROLLTON,AL 35447-0184 2053481770

55 - Pike DAVID P DULANEY 1330 HIGHWAY 231 SOUTH TROY,AL 36081-3058 3346705427

THOMAS N MALONE 1610 OPELIKA RD PHENIX CITY,AL 36867-3634 3344484444

RONALD VANCE BECK 1906 20TH AVE PHENIX CITY,AL 36867-3720 3342980671THOMAS M MALONE 1610 OPELIKA RD PHENIX CITY,AL 36867-3634 3344480003

LEWIS R SCHULMAN 70 PLAZA DR PELL CITY,AL 35125-9314 2058149284

JOSHUA B JOHANNSON 7063 VETERANS PKWY OUTPATIENT CLINIC, SUITE 100PELL CITY,AL 35125-5114 2562410885JULIE T TAYLOR 70 PLAZA DR PELL CITY,AL 35125-9314 2053979000

MARGOT M GATHINGS 13521 OLD HWY 280 STE 201 B BIRMINGHAM,AL 35242-1405 2059951192

MEGAN S POSTON 398 CHESSER DR STE 3 CHELSEA,AL 35043-8306 2056788093

VIRGINIA WINSTON 2800 GREYSTONE COMMERCIAL BLVD BIRMINGHAM,AL 35242-2667 2059715499

GEORGE M ZAHARIAS 408 1ST STREET N STE 200 ALABASTER,AL 35007-8707 2056649995

JON M ADCOCK 224 1ST ST N STE 100 ALABASTER,AL 35007-8758 2058772950

JAMES W BELYEU 644 2ND ST. NE STE204 ALABASTER,AL 35007-8823 2056640442

HELENA M BATSON 224 1ST STREET NORTH SUITE 100 ALABASTER,AL 35007-8758 2056632569

JESSICA L RODRIGUEZ 408 1ST STREET N STE 200 ALABASTER,AL 35007-8707 2056649995

SARA M JABER 408 FIRST STREET NORTH SUITE 200 ALABASTER,AL 35007-8573 2056649995

59 - Shelby

58 - St.Clair

57 - Russell

52 - Morgan

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Alabama Medicaid Agency Delivering Healthcare Provider List

Maternity Care ServicesApril 2018

EARL M SIMMOMS III 408 1ST STREET N STE 200 ALABASTER,AL 35007-8707 2056649995

LANCE E RADBILL 224 1ST ST N STE 100 ALABASTER,AL 35007-8758 2058772950

JAMES L HEAD 408 1ST STREET N STE 200 ALABASTER,AL 35007-8707 2056649995

MIA T COWAN 3000 MEADOW LAKE DR STE 101 BIRMINGHAM,AL 35242-0302 2059951009

KARA M CONTI 408 1ST STREET N STE 200 ALABASTER,AL 35007-8707 2056649995

NATHAN M ROSS 224 1ST ST N STE 100 ALABASTER,AL 35007-8758 2058772950

JACQUELINE P HANCOCK 408 1ST STREET N STE 200 ALABASTER,AL 35007-8707 2056649995

ASHLEY D GOODING 408 1ST STREET N STE 200 ALABASTER,AL 35007-8707 2056649995

JONATHAN F REHBERG 315 W FORT WILLIAMS ST STE 100 SYLACAUGA,AL 35150-2976 2562496995

HECTOR A CACERES SERRANO 724 STONE AVE TALLADEGA,AL 35160-2219 2563621410

HECTOR A CACERES SERRANO 724 STONE AVENUE TALLADEGA,AL 35160-2219 2563621410

GHAYAS HABACH 216 BATTLE STEEET E SUITE A TALLADEGA,AL 35160-2546 2567612955

JOHN P CIMINO 724 STONE AVE TALLADEGA,AL 35160-2219 2563621410

JOSHUA JOHANNSON 803 NORTH ST E TALLADEGA,AL 35160-2529 2562410885

CLIFTON E GARRIS 11 NORTH NORTON AVENUE SYLACAUGA,AL 35150-2451 2562456700

TODD A BADER 315 W FORT WILLIAMS STE 100 SYLACAUGA,AL 35150-2976 2562496995

CYNTHIA L JONES 724 STONE AVE TALLADEGA,AL 35160-2219 2563621410MICHAEL W SWEARINGEN 208 WEST F0RT WILLIAMS ST SYLACAUGA,AL 35150-2432 2562490941

JAMES V HAMILTON 3316 HIGHWAY 280 ALEXANDER CITY,AL 35010-3369 2563297100

BRIAN E DIX 3368 HIGHWAY 280 STE 111 ALEXANDER CITY,AL 35010-3375 2562343477

WILLIAM H MOORE 3368 HWY 280 STE 111 ALEXANDER CITY,AL 35010-3375 2562343477

DAVIS L SULLIVAN 3368 HWY 280 #111 ALEXANDER CITY,AL 35010-3375 2562343477KATHERINE R COOPER 3368 HWY 280 STE 205 ALEXANDER CITY,AL 35010-3375 2562342464

KRISTINE R GRAETTINGER 850 PETER BRYCE BLVD. TUSCALOOSA,AL 35401-7419 2053481770

MYRON S CHWE 2750 HOSPITAL DRIVE NORTHPORT,AL 35476-3360 2053393039

JOHN T MCDONALD JR 850 PETER BRYCE BLVD TUSCALOOSA,AL 35401-7419 2053481770

JAMES EDWARD POIST 701 UNIV BLVD E #502 TUSCALOOSA,AL 35401-7432 2053494131

STEPHEN E ALLEN 2750 HOSPITAL DRIVE NORTHPORT,AL 35476-3360 2053396900

JAMES SIDNEY SMITH 2750 HOSPITAL DRIVE NORTHPORT,AL 35476-3360 2053393039

CHARLES J MENTEL III 701 UNIVERSITY BLVD EAST STE 502 TUSCALOOSA,AL 35401-7432 2053494131

LINDSAY N HARBIN 1325 MCFARLAND BLVD N SUITE 102 NORTHPORT,AL 35476-3270 2053486122

LINDSAY N HARBIN 850 5TH AVE E TUSCALOOSA,AL 35401-7419 2053481770

HARVEY A EDWARDS III 2750 HOSPITAL DR NORTHPORT,AL 35476-3360 2053393039

MARION D REED 850 PETER BRYCE BLVD TUSCALOOSA,AL 35401-7419 2053481770

KARL W HARBIN 701 UNIV BLD E TWR I #502 TUSCALOOSA,AL 35401-7432 2053494131

CECILY A COLLINS 850 PETER BRYCE BLVD TUSCALOOSA,AL 35401-7419 2053481770

JOHN COOPER 2750 HOSPITAL DR NORTHPORT,AL 35476-3360 2053393039

61 - Talladega

63 - Tuscaloosa

62 - Tallapoosa

59 - Shelby

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Alabama Medicaid Agency Delivering Healthcare Provider List

Maternity Care ServicesApril 2018

JOHN A LUCAS 750 5TH AVE E TUSCALOOSA,AL 35401-7421 2053486262

JENNIFER T BOLTON 100 TOWN CNTR BLVD # 201 TUSCALOOSA,AL 35406-1829 2053669996

DANIEL M AVERY 850 PETER BRYCE BLVD TUSCALOOSA,AL 35401-7419 2053481770

JOANNE C MYERS 2750 HOSPITAL DRIVE NORTHPORT,AL 35476-3360 2053393039

LAUREN A LINKEN 750 5TH AVE E TUSCALOOSA,AL 35401-7421 2053486262

KIMBERLY L RAY 701 UNIVERSITY BLVD E STE 502 TUSCALOOSA,AL 35401-7432 2053494131

GORDON C BRYARS 2750 HOSPITAL DR NORTHPORT,AL 35476-3360 2053393039

YOCUNDA D CLAYTON 2731 MLK JR BLVD TUSCALOOSA,AL 35401-5235 2053493250

CATHERINE A SKINNER 850 PETER BRYCE BLVD TUSCALOOSA,AL 35401-7419 2053481770

DEANN M DIPIAZZA 701 UNIVERSITY BLVD EAST 502 TUSCALOOSA,AL 35401-2086 2053494131

ELIZABETH C EMIG 2750 HOSPITAL DRIVE NORTHPORT,AL 35476-3360 2053393039

TALIA J GATES 3400 HIGHWAY 78 E STE 510 JASPER,AL 35501-8953 2053844538

JOHN L EDWARDS 1009 7TH AVE JASPER,AL 35501-4348 2059301817

ROY L SIMS 801 20TH AVE E JASPER,AL 35501-4070 2053843011

BRIDGET S BRUNNER 3400 HIGHWAY 78E SUITE 510 JASPER,AL 35501-8953 2053844801

LORISSIA R AUTERY 3400 HWY 78 E STE 510 JASPER,AL 35501-8953 2053844801

JUDSON W SMITH 801 20TH AVENUE EAST JASPER,AL 35501-4023 2053849004

WOODROW W HERRING III 801 20TH AVE E JASPER,AL 35501-4070 2053840311CAROL SWINDLE 1009 7TH AVE JASPER,AL 35501-4348 2059301817

JOHN C LAFLEUR 14634 ST. STEPHENS AVE STE B CHATOM,AL 36518-6711 2518473077

FRANKIE L BODIE 14634 ST. STEPHENS AVENUE STE B CHATOM,AL 36518-6711 2518473077

67 - Winston JUDSON W SMITH 25734 HWY #195 DOUBLE SPRINGS,AL 35553-2308 2053849004

65 - Washington

63 - Tuscaloosa


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