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Contact Information

JETTY PSYCHIATRIC SERVICES LLC
401 TUSCALOOSA AVE SW
SUITE 110
BIRMINGHAM, AL35211-1416
 Phone: 205-785-2000
 Fax: 205-785-2945
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for JETTY PSYCHIATRIC SERVICES LLC

NPI # 1750576815
LBN Legal business name JETTY PSYCHIATRIC SERVICES LLC
Authorized official PRAVEEN JETTY - (OWNER/M.D.)
Entity Organization
Organization subpart 1 No
Enumeration date 09/12/2007
Last updated 09/12/2007 - About 19 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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