Individual
JEFFERSON SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 OFFICE PARK DR STE 220, MOUNTAIN BRK, AL 35223-2473
(205) 538-3099
Mailing address
300 OFFICE PARK DRIVE SUITE 220, BIRMINGHAM, AL 35223
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3452
AL
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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