Jacksonville Internal Medicine

LBN: Jacksonville Internal Medicine
Jacksonville Internal Medicine is an health care organization with primary practice located at 430 George Wallace Dr # 246 , Gadsden AL 35903-2280. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Jacksonville Internal Medicine can be contacted via phone (256) 343-1800, or through Gavino, Rey via phone (256) 343-1800.

Contact Information

Primary practice address
430 George Wallace Dr # 246 Gadsden AL 35903-2280
Phone: (256) 343-1800
Fax: (256) 365-1046
Website:
Map and Directions
Authorized official contact:
Name: Gavino, Rey
Phone: (256) 343-1800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25404 Alabama

Profile Details

NPI number 1013093152
LBN Legal business name Jacksonville Internal Medicine
DBA Doing business as
Authorized official Gavino, Rey
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2006
Last updated Jul 27th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013093152 NPPES
Alabama Other 01D1017203 CLIA

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