Organization
SYVERSON MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYNE KING (MANAGER)
(251) 424-1200
Entity
Organization
Contact information
Practice address
1400 N MCKENZIE ST, FOLEY, AL 36535-2234
(251) 424-1200
(251) 424-1201
Mailing address
1400 N MCKENZIE ST, FOLEY, AL 36535-2234
(251) 424-1200
(251) 424-1201
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/04/2009
Last updated
03/25/2013
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