| Integrated Specialty Clinic LLC | |
|
26133 Gilmore Way Daphne AL 36526-0079 | |
| (314) 610-2277 | |
| Not Available |
| Full Name | Integrated Specialty Clinic LLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 26133 Gilmore Way, Daphne, Alabama |
| Authorized Official Name and Position | Mandi Jackson (OWNER) |
| Authorized Official Contact | 3146102277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Specialty Clinic LLC 26133 Gilmore Way Daphne AL 36526-0079 | Integrated Specialty Clinic LLC 26133 Gilmore Way Daphne AL 36526-0079 Ph: (314) 610-2277 |
| NPI Number | 1982599536 |
|---|---|
| Provider Enumeration Date | 06/12/2025 |
| Last Update Date | 06/12/2025 |
| Certification Date | 06/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982599536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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