Individual
JEFFREY LEE LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 OXMOOR CT, BIRMINGHAM, AL 35209
(205) 945-0773
(205) 945-0426
Mailing address
1130 22ND ST S STE 1000, BIRMINGHAM, AL 35205-2881
(205) 715-5932
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35077061L
OH
208D00000X
General Practice Physician
39737
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000546223
ANTHEM - NORTON
KY
01
—
00533021
MEDICARE - NORTON
KY
01
—
093270
SIHO - NORTON
KY
05
—
64111990
—
KY
01
—
P00301735
RR MEDICARE
KY
01
—
P00629105
RRMCR - NICC
KY
Enumeration date
05/05/2006
Last updated
04/15/2019
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