Doctor Name: | JEAN SENECAL |
NPI Number: | 1326147828 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD8821 |
Business Practice Address: | 825 West Washington St Suite 12 Eufaula, AL - 360271851 |
Business Phone Number: | 3343700821 |
Business Fax Number: | 8003703096 |
Mailing Address: | 825 West Washington St Suite 12, EUFAULA |
State: | AL |
Postal Code: | 360271851 |
Phone Number: | 3343700821 |
Fax Number: | 8003703096 |
NPI Enumeration Date: | 09/21/2006 |
NPI Last Update Date: | 08/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | MD8821 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |