Individual
JIMMY WAYNE ADKISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1121 BELLEVILLE AVE, BREWTON, AL 36426-1500
(251) 867-6071
(251) 867-5999
Mailing address
PO BOX 648, BREWTON, AL 36427-0648
(251) 867-6071
(251) 867-5999
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO59
AL
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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