| Jefferson Underwood, Iii, Md, Pc | |
|
2173 Normandie Dr Montgomery AL 36111 | |
| (334) 288-7531 | |
| (334) 288-7539 |
| Full Name | Jefferson Underwood, Iii, Md, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2173 Normandie Dr, Montgomery, Alabama |
| Authorized Official Name and Position | Jefferson Underwood (PHYSICIAN) |
| Authorized Official Contact | 3342887531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Underwood, Iii, Md, Pc 2173 Normandie Dr Montgomery AL 36111 Ph: (334) 288-7531 | Jefferson Underwood, Iii, Md, Pc 2173 Normandie Dr Montgomery AL 36111 Ph: (334) 288-7531 |
| NPI Number | 1942330568 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 03/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942330568 | NPI | - | NPPES |
| 528500430 | Medicaid | AL | |
| 1659456606 | Other | AL | NPI |
| 51014552 | Other | AL | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 10805 (Alabama) | Primary |
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