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Genta Medical Clinic P.c.
Specialist in Jacksonville, Alabama
NPI 1073612339

Genta Medical Clinic P.c. is a Specialist based in Jacksonville, AL. Genta Medical Clinic P.c. practices in Jacksonville, AL. The NPI Number for Genta Medical Clinic P.c. is 1073612339 and holds a License No. 15032 (Alabama).

The current practice location address for Genta Medical Clinic P.c. is 1460 1St Ave Sw, Jacksonville, AL and can be reached out via phone at 256-435-2895 and via fax at 256-435-2969.

Location: 1460 1St Ave Sw, Jacksonville, AL, 36265-3329
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073612339
Provider Name
Genta Medical Clinic P.c.
Credential
Provider Entity Type
Organization
Address
1460 1St Ave Sw, Jacksonville, AL, 36265-3329
Phone Number
256-435-2895
Fax Number
256-435-2969
Provider Enumeration Date
09/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
15032 01 CA LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1460 1St Ave Sw
City
Jacksonville
State
Alabama
Zip
36265-3329
Phone Number
256-435-2895
Fax Number
256-435-2969
person
Provider Business Mailing Address Details
Address
1460 1St Ave Sw
City
Jacksonville
State
Alabama
Zip
36265-3329
Phone Number
256-435-2895
Fax Number
256-435-2969
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
15032 (Alabama)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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