NPI 1043246432
Decatur Internal Medicine Center, P.C.
Practice location
- Address
- 2506 Danville Rd SW Suite 101, Decatur, AL 35603-4232
- Phone
- (256) 350-6363
- Fax
- (256) 350-6855
- Mailing address
- PO Box 870, Cullman, AL 35056-0870
Authorised official
- Name
- Kirk Lee Jackson
- Title
- President
- Phone
- (256) 350-6363
Registered specialties
Internal Medicine Physician
Primary
Registry record
- NPI
- 1043246432
- Entity type
- Organization
- NPI issued
- 25 Jun 2006
- Record last updated
- 20 Dec 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.