Individual
JONATHAN MIKHAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
850 PETER BRYCE BLVD, TUSCALOOSA, AL 35401-7457
(205) 348-1770
Mailing address
850 PETER BRYCE BLVD, TUSCALOOSA, AL 35401-7457
(205) 348-1770
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L.5303R
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/07/2020
Last updated
05/05/2023
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