Organization
SELFRECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL M JONES (OFFICE)
(334) 341-1249
Entity
Organization
Contact information
Practice address
106 N LANIER AVE, LANETT, AL 36863-2014
(334) 644-6848
(334) 644-5443
Mailing address
106 N LANIER AVE, LANETT, AL 36863-2014
(334) 644-6848
(334) 644-5443
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13352
AL
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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