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NPI Code Detail

MEDICARE: DR. JEFF HUDSON SEGREST MD

MEDICARE: DR. JEFF HUDSON SEGREST MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician30865AL
2207RC0000XCardiovascular Disease PhysicianMD.30865AL

General Provider Information

NPI Number : 1841384724
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFF HUDSON SEGREST MD
Provider Business Mailing Address
First Line : 2030 LAY DAM RD
Second Line :
City : CLANTON
State : AL
Zip : 35045-8344
Country : US
Telephone Number : 205-663-5775
Fax Number : 205-739-2049
Provider Business Practice Location Address
First Line : 2030 LAY DAM RD
Second Line :
City : CLANTON
State : AL
Zip : 35045-8344
Country : US
Telephone Number : 205-663-5775
Fax Number : 205-739-2049
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 03/17/2018

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Directions to “ DR. JEFF HUDSON SEGREST MD” Practice Location

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