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Contact Information

ANDALUSIA PROFESSIONAL SERVICES LLC
849 S THREE NOTCH ST
ANDALUSIA, AL36420-5325
 Phone: 334-222-8466
 Fax: 334-222-1150
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ANDALUSIA PROFESSIONAL SERVICES LLC

NPI Number 1649726001
LBN Legal business name ANDALUSIA PROFESSIONAL SERVICES LLC
Authorized official JESS JUDY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/26/2016
Last updated 08/26/2016 - About 10 years ago
Identifiers n/a
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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