Individual
JOHN G. JESSUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1280 SUMMITT, JASPER, AL 35501-0102
(205) 387-7555
(205) 384-9006
Mailing address
3400 HIGHWAY 78 E, JASPER, AL 35501-8956
(205) 387-4401
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
14603
AL
207RP1001X
Pulmonary Disease Physician
ME53910
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113118
—
AL
Enumeration date
11/23/2005
Last updated
03/29/2018
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