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JMAC MED LLC NPI 1457843708


NPI Information

NPI: 1457843708
Provider Name: JMAC MED LLC

Doing Business As: WILSON DAM CLINIC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 01D2170571

Address:
4951 WILSON DAM RD
TUSCUMBIA, AL
ZIP 35674
Phone: (256) 856-2424
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JMAC MED LLC is a primary care clinic center in Tuscumbia, AL. JMAC MED LLC NPI is 1457843708. The provider is registered as an organization entity type.
The provider Is Doing Business As Wilson Dam Clinic.

The provider's business location address is:

4951 WILSON DAM RD
TUSCUMBIA, AL
ZIP 35674-141
Phone: (256) 856-2424

The provider's authorized official is Jeremy Paul Taylor .
The authorized official title is Co-owner and has the following contact phone number (256) 856-2424.

The CLIA number assigned to this NPI record is 01D2170571 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2018 and was last updated on 6/2/2018.


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
1261QP2300XClinic/CenterPrimary CareYes

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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