Individual
JONATHAN A CAPPEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1940 STONEGATE DR STE 130, VESTAVIA HLS, AL 35242-2541
(205) 977-9876
(205) 977-9976
Mailing address
1940 STONEGATE DR STE 130, VESTAVIA HLS, AL 35242-2541
(205) 977-9876
(205) 977-9976
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
55234
MN
207ND0101X
MOHS-Micrographic Surgery Physician
34133
AL
207NS0135X
Procedural Dermatology Physician
Primary
34133
AL
207NS0135X
Procedural Dermatology Physician
MD.34133
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2011
Last updated
02/08/2019
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