Individual
MELISSA JANE PUNTKATTALEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5720 1ST AVE S, BIRMINGHAM, AL 35212-2522
(205) 380-9455
(205) 380-9459
Mailing address
5720 1ST AVE S, BIRMINGHAM, AL 35212-2522
(205) 380-9455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.48133
AL
Other
Enumeration date
03/25/2019
Last updated
02/05/2024
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