institution
Er Physician Group At Jackson Hospital
Specialist in Marianna, Florida
NPI 1407895584

Er Physician Group At Jackson Hospital is a Specialist based in Marianna, FL. Er Physician Group At Jackson Hospital practices in Marianna, FL. The NPI Number for Er Physician Group At Jackson Hospital is 1407895584 and holds a License No. ME78684 AND ME93313 (Florida).

The current practice location address for Er Physician Group At Jackson Hospital is 4298 5Th Ave, Marianna, FL and can be reached out via phone at 850-482-5787 and via fax at 850-482-8108.

Location: 4298 5Th Ave, Marianna, FL, 32446-2173
institution
Provider Profile Details
NPI Number
1407895584
Provider Name
Er Physician Group At Jackson Hospital
Credential
Provider Entity Type
Organization
Address
4298 5Th Ave, Marianna, FL, 32446-2173
Phone Number
850-482-5787
Fax Number
850-482-8108
Provider Enumeration Date
06/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
054877400 05 FL
270213400 05 FL
38679 01 FL BLUE CROSS
0142 01 FL MEDICARE FIRST COAST
272901600 05 FL
institution
Provider Business Practice Location Address Details
Address
4298 5Th Ave
City
State
Zip
32446-2173
Phone Number
850-482-5787
Fax Number
850-482-8108
person
Provider Business Mailing Address Details
Address
4298 5Th Ave
City
State
Zip
32446-2173
Phone Number
850-482-5787
Fax Number
850-482-8108
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
ME78684 AND ME93313 (Florida)
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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