Provider Demographics
NPI:1205124120
Name:NORTH ALABAMA PHYSICIANS SERVICE, LLC
Entity type:Organization
Organization Name:NORTH ALABAMA PHYSICIANS SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACK
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLENDON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-386-4680
Mailing Address - Street 1:1100 S JACKSON HWY
Mailing Address - Street 2:SUITE 150
Mailing Address - City:SHEFFIELD
Mailing Address - State:AL
Mailing Address - Zip Code:35660-5774
Mailing Address - Country:US
Mailing Address - Phone:256-386-4680
Mailing Address - Fax:256-386-4682
Practice Address - Street 1:1100 S JACKSON HWY
Practice Address - Street 2:SUITE 150
Practice Address - City:SHEFFIELD
Practice Address - State:AL
Practice Address - Zip Code:35660-5774
Practice Address - Country:US
Practice Address - Phone:256-386-4680
Practice Address - Fax:256-386-4682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-12
Last Update Date:2011-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty