# JEFFERSON M TRUPP MD PC

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

## Provider details

- **NPI number:** 1407054539
- **Authorized official:** MS. MARGARET S PORTER CPC (OFFICE MANAGER)
- **Authorized official phone:** (256) 236-5358

## Contact information

- **Practice address:** 1320 LEIGHTON AVE STE A, ANNISTON, AL 36207-4614
- **Practice address phone:** (256) 236-5358
- **Practice address fax:** (256) 236-3657
- **Mailing address:** 1320 LEIGHTON AVE STE A, ANNISTON, AL 36207-4614
- **Mailing address phone:** (256) 236-5358
- **Mailing address fax:** (256) 236-3657

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0203X | Radiation Oncology Clinic/Center | 11479 | AL | Yes |

## Other

- **Enumeration date:** 07/10/2007
- **Last updated:** 07/10/2007