Organization
VYSHALI REDDY LOUPE, MD, LLC
Active
Parent organization
JACKSON COUNTY HEALTH CARE AUTHORITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
JACKSON COUNTY HEALTH CARE AUTHORITY
Authorized official
MR. DAN B NEWELL (CHIEF FINANCIAL OFFICER)
(256) 218-3856
Entity
Organization
Contact information
Practice address
331 PARKS AVE, SUITE A, SCOTTSBORO, AL 35768-2411
(256) 259-1635
(256) 259-1685
Mailing address
PO BOX 1050, 380 WOODS COVE ROAD, SCOTTSBORO, AL 35768-1050
(256) 218-3856
(256) 218-3536
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30028
AL
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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