Individual
DR. JERRY GREGORY ADDERHOLT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
426 EAST DR.HICKS BLVD, FLORENCE, AL 35630-6625
(256) 764-7721
(256) 764-8589
Mailing address
426 EAST DOCTOR HICKS BLVD, FLORENCE, AL 35630-6625
(256) 764-7721
(256) 764-8589
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
19765
AL
207T00000X
Neurological Surgery Physician
Primary
19765
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009999445
—
AL
Enumeration date
06/16/2006
Last updated
05/03/2011
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