| Organization Name: | NORTH EAST ALABAMA CENTER FOR INFECTIOUS DISEASE& INTERNAL MEDICINE |
| NPI Number: | 1225159981 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUNIL K JAISWAL (CEO) |
| Mailing Address: | 107 Main St Collinsville |
| State: | AL US |
| Postal Code: | 35961 |
| Phone Number: | 2565244788 |
| Fax Number: | 2565244788 |
| NPI Enumeration Date: | 04/02/2007 |
| NPI Last Update Date: | 12/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 22810 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |