Organization · Type 2 NPI
Genta Medical Clinic P.c.
Specialist · Jacksonville, AL
NPI number
1073612339
Active
Practice location
1460 1st Ave SW
Jacksonville, AL 36265-3329
Fax (256) 435-2969
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 15032 (AL) |
Specialist: 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.
Another provider at this address
Other specialist providers in Jacksonville
About NPI 1073612339
Genta Medical Clinic P.c.'s National Provider Identifier is 1073612339, issued on Sep 22, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Jacksonville, AL. The record was last updated on Nov 19, 2008.