Organization
ER PHYSICIAN GROUP AT JACKSON HOSPITAL
Active
Parent organization
ER PHYSICIAN GROUP AT JACKSON HOSPITAL
Other names
Chipola Quick Care Alford & Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
ER PHYSICIAN GROUP AT JACKSON HOSPITAL
Authorized official
MARGARET CARTER (PAYER CREDENTIALING COORDINATOR)
(850) 718-2531
Entity
Organization
Contact information
Practice address
1798 GEORGIA ST, ALFORD, FL 32420-6800
(850) 526-6727
(850) 526-1027
Mailing address
4250 HOSPITAL DR, MARIANNA, FL 32446-1917
(850) 526-6727
(850) 526-1027
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/03/2021
Last updated
01/16/2023
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