Individual
MARY LEIGH JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35233-1900
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MA063530
PA
363AM0700X
Medical Physician Assistant
Primary
PA.2419
AL
Other
Enumeration date
06/16/2022
Last updated
08/02/2024
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