OrganizationActive
Integrated Specialty Clinic LLC
NPI 1982599536 · Multi-Specialty Clinic/Center · Daphne, AL
Provider details
- NPI number
- 1982599536
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mandi Jackson, Owner(314) 610-2277
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
26133 Gilmore Way
Daphne, AL 36526-0079
Phone: (314) 610-2277
Approximate (ZIP-level) locationGet directions
Mailing address
26133 Gilmore Way
Daphne, AL 36526-0079
Registry dates
- Enumerated
- 2025-06-12
- Last updated
- 2025-06-12
- Certified
- 2025-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.