| Shanon R Jernigan Md Llc | |
|
10699 Old Highway 280 Ste B Chelsea AL 35043-8220 | |
| (205) 335-2310 | |
| (205) 618-9544 |
| Full Name | Shanon R Jernigan Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 10699 Old Highway 280 Ste B, Chelsea, Alabama |
| Authorized Official Name and Position | Shanon Jernigan (PHYSICIAN) |
| Authorized Official Contact | 2053352310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shanon R Jernigan Md Llc 3025 Belvedere Ln Birmingham AL 35242-6635 Ph: (205) 335-2310 | Shanon R Jernigan Md Llc 10699 Old Highway 280 Ste B Chelsea AL 35043-8220 Ph: (205) 335-2310 |
| NPI Number | 1629884838 |
|---|---|
| Provider Enumeration Date | 12/04/2024 |
| Last Update Date | 12/04/2024 |
| Medicare PECOS PAC ID | 6901336445 |
|---|---|
| Medicare Enrollment ID | O20250212002777 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629884838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Shanon R Jernigan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225139959 PECOS PAC ID: 1850495607 Enrollment ID: I20070403000670 |
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American Family Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12375 Chelsea Rd, Chelsea, AL 35043 Phone: 205-577-6401 Fax: 205-677-6461 | |
Pediatric Care Of Chelsea, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15582 Highway 280 Ste 110, Chelsea, AL 35043 Phone: 205-800-8713 | |
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