Qhg of Jacksonville INC

NPI #1457458820 in Jacksonville, Alabama

Provider Information

NPI Number: 1457458820
Entity Type: Organization
Organization Name: Qhg of Jacksonville INC
Subpart: Yes (part of a larger organization)
Parent Organization: QHG OF JACKSONVILLE INC
Primary Specialty: Anesthesiology
Enumeration Date: Sep 20, 2006
Last Updated: Feb 8, 2008

Practice Location

Address: 1701 PELHAM RD S
City: Jacksonville
State: Alabama
ZIP Code: 36265-3353
Phone: (256) 435-4970

Authorized Official

Name: DEBBIE BREWER
Title: DIRECTOR OF PROVIDER ENROLLMENT
Phone: (877) 892-9813

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X
Internal Medicine	207R00000X
Nurse Anesthetist, Certified Registered	367500000X
Anesthesiology	207L00000X	Primary

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DR. Jasper L. Booker, M.D.	Anesthesiology	Birmingham	AI Deep Dive
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