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Individual

MRS. JACQUELINE Y SYLVESTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D. F.A.C.O.G

Contact information

Practice address
235 PORTAL LANE SUITE A, MADISON, AL 35758-5827
(256) 461-1766
(256) 461-1768
Mailing address
235 PORTAL LANE SUITE A, MADISON, AL 35758-5827
(256) 461-1769
(256) 461-1768

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
00025180
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009924255
AL
Enumeration date
06/06/2006
Last updated
03/01/2019
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