Southern Medical Group INC

NPI #1427268077 in Jasper, Alabama

Provider Information

NPI Number: 1427268077
Entity Type: Organization
Organization Name: Southern Medical Group INC
Primary Specialty: Emergency Medicine
Enumeration Date: May 23, 2007
Last Updated: Jun 21, 2018

Practice Location

Address: 3400 HIGHWAY 78 E
City: Jasper
State: Alabama
ZIP Code: 35501-8907
Phone: (205) 387-4187

Authorized Official

Name: MS. CLARICE D KENNEDY
Title: PROVIDER ENROLLMENT SPECIALIST
Phone: (205) 995-7980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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