Decatur Internal Medicine Center, P.C.

LBN: Decatur Internal Medicine Center, P.C.
Decatur Internal Medicine Center, P.C. is an health care organization with primary practice located at 2506 Danville Rd Sw Suite 101, Decatur AL 35603-4232. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Decatur Internal Medicine Center, P.C. can be contacted via phone (256) 350-6363, or through Jackson, Kirk Lee via phone (256) 350-6363.

Contact Information

Primary practice address
2506 Danville Rd Sw Suite 101 Decatur AL 35603-4232
Phone: (256) 350-6363
Fax: (256) 350-6855
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Kirk Lee Doctor of Medicine (MD)
Phone: (256) 350-6363

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1043246432
LBN Legal business name Decatur Internal Medicine Center, P.C.
DBA Doing business as
Authorized official Jackson, Kirk Lee Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2006
Last updated Dec 20th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043246432 NPPES
Alabama Other DG3025 RAILROAD MEDICARE

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