# JACKSON COUNTY FAMILY CARE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295828036
- **Authorized official:** DR. WILLIAM HARDIN COLEMAN JR. M.D. (PRESIDENT)
- **Authorized official phone:** (256) 259-5537

## Contact information

- **Practice address:** 508 HARLEY ST, SUITE C, SCOTTSBORO, AL 35768-4294
- **Practice address phone:** (256) 259-5537
- **Practice address fax:** (256) 259-3189
- **Mailing address:** 508 HARLEY ST, SUITE C, SCOTTSBORO, AL 35768-4294
- **Mailing address phone:** (256) 259-5537
- **Mailing address fax:** (256) 259-3189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 03/19/2014
