# JACOB GREUEL MD PC

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

## Provider details

- **NPI number:** 1902060049
- **Authorized official:** JACOB V GREUEL MD (PRESIDENT)
- **Authorized official phone:** (251) 955-1030

## Contact information

- **Practice address:** 1715 N BUNNER ST, FOLEY, AL 36535-2229
- **Practice address phone:** (251) 955-1030
- **Practice address fax:** (251) 955-5048
- **Mailing address:** 1715 N BUNNER ST, FOLEY, AL 36535-2229
- **Mailing address phone:** (251) 955-1030
- **Mailing address fax:** (251) 955-5048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 27744 | AL | — |
| 207Q00000X | Family Medicine Physician | 27744 | AL | Yes |

## Other

- **Enumeration date:** 07/17/2008
- **Last updated:** 11/18/2008