Organization
JASPER FAMILY PRACTICE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELINDA STILES (ASSISTANT OFFICE MANAGER)
(205) 221-9351
Entity
Organization
Contact information
Practice address
2201 N AIRPORT RD, JASPER, AL 35504-7058
(205) 221-9351
(205) 221-4353
Mailing address
PO BOX 1474, JASPER, AL 35502-1474
(205) 221-9351
(205) 221-3700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528601190
—
AL
Enumeration date
08/10/2005
Last updated
07/21/2022
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