Family Practice of Jacksonville PC

NPI #1568571602 in Jacksonville, Alabama

Provider Information

NPI Number: 1568571602
Entity Type: Organization
Organization Name: Family Practice of Jacksonville PC
Primary Specialty: Allergy & Immunology
Enumeration Date: Aug 30, 2006
Last Updated: Apr 22, 2008

Practice Location

Address: 1881 HWY 21 SOUTH
City: Jacksonville
State: Alabama
ZIP Code: 36265
Phone: (256) 435-3035

Authorized Official

Name: KEWAL K VERMA, MD
Title: PRESIDENT
Phone: (256) 435-3035

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Allergy & Immunology	207K00000X	Primary

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