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Contact Information

FAMILY PRACTICE OF JACKSONVILLE PC
1881 HWY 21 SOUTH
JACKSONVILLE, AL36265
 Phone: 256-435-3035
 Fax: 256-435-9111
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for FAMILY PRACTICE OF JACKSONVILLE PC

NPI # 1568571602
LBN Legal business name FAMILY PRACTICE OF JACKSONVILLE PC
Authorized official KEWAL VERMA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/30/2006
Last updated 04/22/2008 - About 18 years ago
Identifiers
AL License # 7306
Other 01D0689490 CLIA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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