Provider Demographics
NPI:1750906921
Name:DOCTORS MAKING HOME VISITS 1ST INC
Entity type:Organization
Organization Name:DOCTORS MAKING HOME VISITS 1ST INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TISHA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:DICKSON-NICKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-303-0657
Mailing Address - Street 1:922 S PERRY ST
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36104-5022
Mailing Address - Country:US
Mailing Address - Phone:334-303-0657
Mailing Address - Fax:
Practice Address - Street 1:922 S PERRY ST
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36104-5022
Practice Address - Country:US
Practice Address - Phone:334-303-0657
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-12
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty