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Individual

JESSE W AUSTIN JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
400 TAYLOR RD, MONTGOMERY, AL 36117-3512
(334) 277-8330
(818) 587-2493
Mailing address
PO BOX 2324, BIRMINGHAM, AL 35201-2324
(877) 864-7002
(818) 587-2493

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8595
AL

Other

Enumeration date
05/04/2006
Last updated
07/08/2007
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