Southern Medical Group INC

NPI #1265479455 in Jasper, Alabama

Provider Information

NPI Number: 1265479455
Entity Type: Organization
Organization Name: Southern Medical Group INC
Primary Specialty: Emergency Medicine
Enumeration Date: May 31, 2006
Last Updated: Jul 21, 2022

Practice Location

Address: 3400 HIGHWAY 78 E
City: Jasper
State: Alabama
ZIP Code: 35501-8956
Phone: (205) 387-4187

Authorized Official

Name: JOEL KOPPENHAVER
Title: PRESIDENT BILLING SERVICES
Phone: (770) 874-5400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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