FAMILY PRACTICE OF JACKSONVILLE PC

JACKSONVILLE, AL
NPI1568571602
Entity TypeOrganization
Authorized ContactKEWAL K VERMA
President
256-435-3035
Organization Subpart ?No
Primary Taxonomy207K00000X Allergy & Immunology
(Licence: AL  7306)
Additional Taxonomies207Q00000X Family Medicine
(Licence: AL  7306)
Enumeration Date2006-08-30
Last Update Date2008-04-22
Business Address
FAMILY PRACTICE OF JACKSONVILLE PC
1881 HWY 21 SOUTH
JACKSONVILLE, AL 36265
Phone number: 256-435-3035
Mailing Address
FAMILY PRACTICE OF JACKSONVILLE PC
PO BOX 777 1881 HWY 21 SOUTH
JACKSONVILLE, AL 36265
Phone number: 256-435-3035