Jack L. Mauldin, Md

LBN: Gastroenterology Associates West Pc
Jack L. Mauldin, Md is an health care organization with primary practice located at 833 Princeton Ave Sw Suite 200D, Birmingham AL 35211-1323. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Gastroenterology Associates West Pc can be contacted via phone (205) 786-5527, or through Mauldin, Jack L. via phone (205) 786-5527.

Contact Information

Primary practice address
833 Princeton Ave Sw Suite 200D Birmingham AL 35211-1323
Phone: (205) 786-5527
Fax: (205) 786-5529
Website:
Map and Directions
Authorized official contact:
Name: Mauldin, Jack L. Doctor of Medicine (MD)
Phone: (205) 786-5527

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 6455 Alabama

Profile Details

NPI number 1659506004
LBN Legal business name Gastroenterology Associates West Pc
DBA Doing business as Jack L. Mauldin, Md
Authorized official Mauldin, Jack L. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2009
Last updated May 28th, 2009 - about 17 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 1659506004 NPPES
Alabama MEDICAID 000004027

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