# PRIMARY CARE SERVICES OF SHELBY, INC.

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

## Provider details

- **NPI number:** 1386972990
- **Authorized official:** MR. JORGE JIMENEZ LAZO (PRESIDENT)
- **Authorized official phone:** (205) 470-7281

## Contact information

- **Practice address:** 1919 OXMOOR RD, SUITE 212, HOMEWOOD, AL 35209-3502
- **Practice address phone:** (205) 470-7281
- **Mailing address:** 1919 OXMOOR RD, SUITE 212, HOMEWOOD, AL 35209-3502
- **Mailing address phone:** (205) 470-7281

## Taxonomy

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

## Other

- **Enumeration date:** 11/20/2009
- **Last updated:** 11/20/2009