Organization
JEFFERSON UNDERWOOD, III, MD, PC
Active
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
Update your record
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