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Organization
PRIMARY CARE SERVICES OF SHELBY, INC.
Active
Organization
PRIMARY CARE SERVICES OF SHELBY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE JIMENEZ LAZO (PRESIDENT)
(205) 470-7281
Entity
Organization
Contact information
Practice address
1919 OXMOOR RD, SUITE 212, HOMEWOOD, AL 35209-3502
(205) 470-7281
Mailing address
1919 OXMOOR RD, SUITE 212, HOMEWOOD, AL 35209-3502
(205) 470-7281
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/20/2009
Last updated
11/20/2009
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