Organization
SOUTHERN FAMILY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACKIE FREDERICK CRNP (MEMBER)
(205) 669-4884
Entity
Organization
Contact information
Practice address
201 HIGHWAY 25 E, COLUMBIANA, AL 35051-9373
(205) 669-4884
(205) 669-4883
Mailing address
201 HIGHWAY 25 E, COLUMBIANA, AL 35051-9373
(205) 669-4884
(205) 669-4883
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/28/2007
Last updated
11/02/2012
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