Organization
JACKSONVILLE SURGICAL & MEDICAL AFFILIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY COBB CPA (CFO)
(256) 782-4520
Entity
Organization
Contact information
Practice address
1460 2ND AVE SW, JACKSONVILLE, AL 36265-3358
(256) 782-4395
Mailing address
1460 2ND AVE SW, JACKSONVILLE, AL 36265-3358
(256) 782-4395
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/13/2008
Last updated
10/13/2008
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