Jacob Seth Barksdale
Student in an Organized Health Care Education/Training Program in Albertville, AL. Individual provider (NPI-1).
NPI number1033971007
StatusActive
Last updated in NPPESJan 25, 2024
Details
- NPI
- 1033971007
- Entity type
- Individual (NPI-1)
- Name
- Jacob Seth Barksdale
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 25, 2024
- Certification date
- Jan 25, 2024
- Last updated
- Jan 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
611 Preston AveAlbertville, AL 35950-3807
Phone 256-254-0730
Mailing address
611 Preston AveAlbertville, AL 35950-3807
Phone 256-254-0730
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