JACKSON FAMILY PRACTICE, LLC

SCOTTSBORO, AL
NPI1982935532
Entity TypeOrganization
Authorized ContactOSCAR V, FADUL
Owner
256-574-6157
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AL  MD.9585)
Enumeration Date2010-01-21
Last Update Date2010-01-21
Business Address
JACKSON FAMILY PRACTICE, LLC
506 HARLEY ST
SCOTTSBORO, AL 35768-4219
Phone number: 256-574-6157
Mailing Address
JACKSON FAMILY PRACTICE, LLC
PO BOX 56
SCOTTSBORO, AL 35768-0056
Phone number: 256-574-6157
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