Surgery Clinic, LLC

NPI #1780068460 in Jacksonville, Alabama

Provider Information

NPI Number: 1780068460
Entity Type: Organization
Organization Name: Surgery Clinic, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: SURGERY CLINIC, LLC
Primary Specialty: Surgery
Enumeration Date: Jul 13, 2015
Last Updated: Feb 10, 2021

Practice Location

Address: 1622 CHURCH AVE SE
City: Jacksonville
State: Alabama
ZIP Code: 36265-3200
Phone: (256) 547-6331

Authorized Official

Name: MRS. DIANETTE KEENER
Title: BILLING MANAGER
Phone: (256) 547-6331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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