Organization
JACKSONVILLE MEDICAL PROFESSIONAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
V KAREN FLINN (VP)
(214) 473-3773
Entity
Organization
Contact information
Practice address
1701 PELHAM RD S, JACKSONVILLE, AL 36265-3353
(256) 820-5244
Mailing address
1701 PELHAM RD S, JACKSONVILLE, AL 36265-3353
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208600000X
Surgery Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
04/20/2007
Last updated
09/11/2025
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