Provider Demographics
NPI:1346676673
Name:JS PHYMGMT CORP
Entity Type:Organization
Organization Name:JS PHYMGMT CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCARBROUGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-235-5089
Mailing Address - Street 1:PO BOX 2123
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36202-2123
Mailing Address - Country:US
Mailing Address - Phone:256-235-5089
Mailing Address - Fax:256-231-8849
Practice Address - Street 1:400 E 10TH ST
Practice Address - Street 2:RADIATION ONCOLOGY DEPT
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36202-4716
Practice Address - Country:US
Practice Address - Phone:256-235-5089
Practice Address - Fax:256-231-8849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-18
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD32556173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty