Individual
JERE P SEGREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
6940
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17023
BCBS OF AL
AL
05
—
17023
—
AL
01
—
29131
HEALTHSPRING OF AL
AL
01
—
C74052
VIVA
AL
Enumeration date
08/18/2006
Last updated
07/08/2007
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