Individual
JOHN DANIEL MCENTYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-1900
(205) 934-2100
Mailing address
3084 LAKEVIEW CIR, SOUTHSIDE, AL 35907-0858
(256) 490-5106
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-135726
AL
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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