Jacksonville Surgical & Medical Affiliates, LLC
NPI #1104078831 in Jacksonville, Alabama
Provider Information
- NPI Number
- 1104078831
- Entity Type
- Organization
- Organization Name
- Jacksonville Surgical & Medical Affiliates, LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Oct 13, 2008
- Last Updated
- Oct 13, 2008
Practice Location
- Address
- 1460 2ND AVE SW
- City
- Jacksonville
- State
- Alabama
- ZIP Code
- 36265-3358
- Phone
- (256) 782-4395
Authorized Official
- Name
- TAMMY COBB, CPA
- Title
- CFO
- Phone
- (256) 782-4520
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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