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Individual

JIM D. MCDILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2880 DAUPHIN ST, MOBILE, AL 36606-2457
(251) 341-3368
(251) 470-8943
Mailing address
2880 DAUPHIN ST, MOBILE, AL 36606-2457
(251) 341-3368
(251) 470-8943

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
38-A
AL
237600000X
Audiologist-Hearing Aid Fitter
38-A
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51034505
BLUE CROSS PROVIDER #
AL
01
640002517
RAILROAD MEDICARE PROV. #
AL
Enumeration date
09/16/2005
Last updated
12/01/2011
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