Organization
CONTRACT PHYSICIAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFF HIXON BEARD M.D. (CONTRACT PHYSICIAN)
(251) 621-1011
Entity
Organization
Contact information
Practice address
1011 CAPTAIN ONEAL DR, DAPHNE, AL 36526-4023
(251) 621-1011
Mailing address
1011 CAPTAIN ONEAL DR, DAPHNE, AL 36526-4023
(251) 621-1011
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
2819
AL
Other
Enumeration date
07/16/2010
Last updated
07/16/2010
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