Organization
ER PHYSICIAN GROUP AT JACKSON HOSPITAL
Active
Other names
Women's Healthcare of the Panhandle
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOYCE Y. AL-MATEEN (ACCOUNTS MANAGER)
(850) 482-5787
Entity
Organization
Contact information
Practice address
4298 5TH AVE, MARIANNA, FL 32446-2173
(850) 482-5787
(850) 482-8108
Mailing address
4298 5TH AVE, MARIANNA, FL 32446-2173
(850) 482-5787
(850) 482-8108
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3999
FL
Other
Enumeration date
05/27/2006
Last updated
08/13/2008
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