Provider Demographics
NPI:1881488054
Name:JM FAMILY AUTOMOTIVE LLC
Entity type:Organization
Organization Name:JM FAMILY AUTOMOTIVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP ASSOCIATE SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-304-0104
Mailing Address - Street 1:6455 BEST FRIEND RD
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30071
Mailing Address - Country:US
Mailing Address - Phone:770-754-5190
Mailing Address - Fax:770-754-5191
Practice Address - Street 1:6455 BEST FRIEND RD
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30071
Practice Address - Country:US
Practice Address - Phone:770-754-5190
Practice Address - Fax:770-754-5191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty