Organization · NPI-2

Bhc-Walker Primary Care

Internal Medicine · Jasper, AL

NPI number1033451992

StatusActive

Last updated in NPPESMar 19, 2013

Details

NPI: 1033451992
Entity type: Organization (NPI-2)
Legal business name: Bhc-Walker Primary Care
Organization subpart: Yes
Enumeration date: Mar 19, 2013
Last updated: Mar 19, 2013

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	–	–	Yes
207Q00000X	Family Medicine	–	–

Practice location

3400 Highway 78 E
Medical Arts Tower; Suite 321
Jasper, AL 35501-8907

Phone 205-715-5943

Mailing address

3400 Highway 78 E
Medical Arts Tower; Suite 321
Jasper, AL 35501-8907

Authorized official

George Scott Fenn
President/Ceo
2057155415

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