Organization
JEFFERSON UNDERWOOD, III, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERSON UNDERWOOD III M.D. (PHYSICIAN)
(334) 288-7531
Entity
Organization
Contact information
Practice address
2173 NORMANDIE DR, MONTGOMERY, AL 36111
(334) 288-7531
(334) 288-7539
Mailing address
2173 NORMANDIE DR, MONTGOMERY, AL 36111
(334) 288-7531
(334) 288-7539
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10805
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659456606
NPI
AL
01
—
51014552
BLUE CROSS
AL
05
—
528500430
—
AL
Enumeration date
03/06/2007
Last updated
03/26/2018
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