Jackson Family Practice, LLC

NPI #1982935532 in Scottsboro, Alabama

Provider Information

NPI Number
1982935532
Entity Type
Organization
Organization Name
Jackson Family Practice, LLC
Primary Specialty
Family Medicine
Enumeration Date
Jan 21, 2010
Last Updated
Jan 21, 2010

Practice Location

Address
506 HARLEY ST
State
Alabama
ZIP Code
35768-4219
Phone
(256) 574-6157

Authorized Official

Name
OSCAR V, FADUL, M.D.
Title
OWNER
Phone
(256) 574-6157

Specialties & Taxonomy Codes

Specialty
Family Medicine

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