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FAMILY PRACTICE OF JACKSONVILLE PC NPI 1568571602


NPI Information

NPI: 1568571602
Provider Name: FAMILY PRACTICE OF JACKSONVILLE PC
Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization
Address:
1881 HWY 21 SOUTH
JACKSONVILLE, AL
ZIP 36265
Phone: (256) 435-3035
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FAMILY PRACTICE OF JACKSONVILLE PC is an allergy immunology in Jacksonville, AL. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. FAMILY PRACTICE OF JACKSONVILLE PC NPI is 1568571602. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1881 HWY 21 SOUTH
JACKSONVILLE, AL
ZIP 36265
Phone: (256) 435-3035
Fax: (256) 435-9111

The provider's authorized official is Kewal K Verma .
The authorized official title is President and has the following contact phone number (256) 435-3035.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 4/22/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine7306ALABAMANo
2207K00000XAllergy & Immunology7306ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101D0689490OTHERCLIA
2000006481MEDICARE PINALABAMA
3C72876MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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