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Organization
JEMD
Active
Organization
JEMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA DIETRICH-MARSH D.C. (CHIROPRACTOR)
(205) 664-7707
Entity
Organization
Contact information
Practice address
50 MANNING PL, BIRMINGHAM, AL 35242-1809
(205) 664-7707
Mailing address
50 MANNING PL, BIRMINGHAM, AL 35242-1809
(205) 664-7707
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1607
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350040014
RAILROAD MEDICARE
AL
01
—
4410001
MEDICARE COMPLETE
AL
01
—
51500604
BLUE CROSS
AL
01
—
5627563
AETNA HEALTHCARE
AL
01
—
656333
VIVA HEALTH CARE
AL
Enumeration date
08/05/2008
Last updated
08/10/2023
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