Organization
FORREST AVE MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANIE T TESCHNER MD (OWNER)
(256) 393-3009
Entity
Organization
Contact information
Practice address
1016 FORREST AVE, GADSDEN, AL 35901-3540
(256) 549-5002
(256) 549-5003
Mailing address
1016 FORREST AVE, GADSDEN, AL 35901-3540
(256) 549-5002
(256) 549-5003
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127451
—
AL
Enumeration date
12/11/2018
Last updated
12/11/2018
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