Organization
HEALTHSOURCE OF HUNTSVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH S JACOBS D.C. (MANAGING MEMBER)
(256) 929-3918
Entity
Organization
Contact information
Practice address
930 BOB WALLACE AVE SW STE 225, HUNTSVILLE, AL 35801-5644
(256) 964-6678
(256) 964-6660
Mailing address
930 BOB WALLACE AVE SW STE 225, HUNTSVILLE, AL 35801-5644
(256) 964-6678
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
2227
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417146143
INDIVIDUAL NPI
AL
Enumeration date
08/19/2013
Last updated
11/03/2022
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