| Jacksonville Internal Medicine | |
|
430 George Wallace Dr # 246 Gadsden AL 35903-2280 | |
| (256) 343-1800 | |
| (256) 365-1046 |
| Full Name | Jacksonville Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 430 George Wallace Dr # 246, Gadsden, Alabama |
| Authorized Official Name and Position | Rey Gavino (OWNER) |
| Authorized Official Contact | 2563431800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacksonville Internal Medicine Po Box 550 Jacksonville AL 36265-0550 Ph: (256) 343-1800 | Jacksonville Internal Medicine 430 George Wallace Dr # 246 Gadsden AL 35903-2280 Ph: (256) 343-1800 |
| NPI Number | 1013093152 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 07/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013093152 | NPI | - | NPPES |
| 01D1017203 | Other | AL | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25404 (Alabama) | Primary |
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