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Organization

JEFFERSON SHELBY SURGICAL ASSOCIATES, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BARTON S WOOD MD (OWNER)
(205) 663-1180
Entity
Organization

Contact information

Practice address
636 2ND ST NE, SUITE A, ALABASTER, AL 35007-8817
(205) 663-1180
(205) 663-1221
Mailing address
PO BOX 927, ALABASTER, AL 35007-2052
(205) 663-1180
(205) 663-1221

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
J343
MEDICARE PTAN
Enumeration date
11/20/2006
Last updated
09/02/2016
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