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Marathon Health LLC — NPI 1700419686, Jack, AL | NPI Central

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NPI 1700419686

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Marathon Health LLC

NPI 1700419686 · Nurse Practitioner · Jack, AL

Provider details

NPI number: 1700419686
Entity type: Organization
Primary specialty: Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Parent organization: Marathon Health LLC
Organization subpart: Yes
Authorized official: Jerry Ford, Ceo(802) 857-0400

Specialties & taxonomies

Nurse PractitionerPrimary363L00000X
Physician Assistants & Advanced Practice Nursing Providers

Practice location

1031 County Road 114

Jack, AL 36346-6264

Phone: (334) 853-0177

Approximate (ZIP-level) locationGet directions

More AL providers

Mailing address

Po Box 5

Winooski, VT 05404-0005

Other names (DBA / former)

Other name: Wayne Farms Enterprise

Registry dates

Enumerated: 2020-02-19
Last updated: 2020-02-19
Certified: 2020-02-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.