| Family Practice Of Jacksonville Pc | |
|
1881 Hwy 21 South Jacksonville AL 36265 | |
| (256) 435-3035 | |
| (256) 435-9111 |
| Full Name | Family Practice Of Jacksonville Pc |
|---|---|
| Speciality | Allergy & Immunology |
| Location | 1881 Hwy 21 South, Jacksonville, Alabama |
| Authorized Official Name and Position | Kewal K Verma (PRESIDENT) |
| Authorized Official Contact | 2564353035 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Of Jacksonville Pc Po Box 777 1881 Hwy 21 South Jacksonville AL 36265 Ph: (256) 435-3035 | Family Practice Of Jacksonville Pc 1881 Hwy 21 South Jacksonville AL 36265 Ph: (256) 435-3035 |
| NPI Number | 1568571602 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 04/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568571602 | NPI | - | NPPES |
| 01D0689490 | Other | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 7306 (Alabama) | Secondary |
| 207K00000X | Allergy & Immunology | 7306 (Alabama) | Primary |
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