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Individual

DR. JEREMY CURTIS DORNIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
150 GILBREATH DR STE 201, ONEONTA, AL 35121-2827
(205) 274-8198
Mailing address
150 GILBREATH DR, STE 201, ONEONTA, AL 35121-2827
(205) 274-8198

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
310648
LA
207Q00000X
Family Medicine Physician
Primary
41148
AL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
053118
CDS
LA
01
310648
STATE LICENSE
LA
01
41148
STATE LICENSE
AL
Enumeration date
03/20/2017
Last updated
03/07/2023
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