JACKSON VASCULAR SURGERY GREENVILLE
NPI 1740657683
Surgery - Vascular Surgery in Greenville, AL
- Organization
- Surgery
- Vascular Surgery
About JACKSON VASCULAR SURGERY GREENVILLE
This page provides the complete NPI Profile along with additional information for Jackson Vascular Surgery Greenville, a provider established in Greenville, Alabama operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1740657683 assigned on August 2015. The practitioner's primary taxonomy code is 2086S0129X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Jackson Vascular Surgery Greenville. The authorized official of this NPI record is Ms. Kelin Penney (Administrator Jackson Clinic)
- NPI
- 1740657683 Verify this NPI
- Provider Legal Name
- JACKSON HOSPITAL AND CLINIC INC
- Other Organization Name
- JACKSON VASCULAR SURGERY GREENVILLE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 44 MEDICAL ARTS CT GREENVILLE, AL 36037
- Location Phone
- (334) 293-8922
- Location Fax
- (334) 293-6820
- Mailing Address
- 1722 PINE ST SUITE 503 MONTGOMERY, AL 36106
- Mailing Phone
- (334) 240-2337
- Mailing Fax
- (334) 293-6859
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-26-2015
- Last Update Date
- 08-26-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Vascular Surgery
- Taxonomy Code
- 2086S0129X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740657683, enumerated as an "organization" on August 26, 2015.
The provider is located at 44 MEDICAL ARTS CT GREENVILLE, AL 36037 and the phone number is (334) 293-8922.
Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.
