JEFFERSON M TRUPP MD PC


Address: 1320 Leighton Ave Ste A, Anniston, AL 36207-4614
Phone: 2562365358

JEFFERSON M TRUPP MD PC (NPI# 1407054539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407054539
Entity Type Organization
Organization Name JEFFERSON M TRUPP MD PC
Practice Address 1320 Leighton Ave Ste A
Anniston
AL 36207-4614
Practice Telephone 2562365358
Practice Fax Number 2562363657
Mailing Telephone 2562365358
Mailing Fax Number 2562363657
Enumeration Date 2007-07-10
Last Update Date 2007-07-10
Authorized Official Name MS. MARGARET S PORTER (OFFICE MANAGER)
Authorized Official Telephone 2562365358
Authorized Official Credential CPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QX0203X Clinic/Center
Specialization: Oncology, Radiation
11479 AL Ambulatory Health Care Facilities

Office Location

Street Address 1320 LEIGHTON AVE STE A
City ANNISTON
State AL
Zip Code 36207-4614

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Taxonomy Information

Taxonomy Code 261QX0203X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Oncology, Radiation

Taxonomy Definition

Definition to come...

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Competitor

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City ANNISTON
Zip Code 36207

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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