Organization
NORTH EAST ALABAMA CENTER FOR INFECTIOUS DISEASE& INTERNAL MEDICINE
Active
Other names
SUNIL K JAISWAL, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNIL K JAISWAL MD (CEO)
(256) 442-7594
Entity
Organization
Contact information
Practice address
107 MAIN ST, COLLINSVILLE, AL 35961
(256) 524-4788
(256) 524-4788
Mailing address
PO BOX 1364, GADSDEN, AL 35902-1364
(256) 442-7594
(256) 442-7594
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
22810
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000060252
—
AL
05
—
000094829
—
AL
Enumeration date
04/02/2007
Last updated
12/06/2010
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