Individual
JORDAN HARPER CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1521 11TH AVE S, BIRMINGHAM, AL 35205-3503
(205) 996-7346
(205) 996-6830
Mailing address
1521 11TH AVE S, BIRMINGHAM, AL 35205-3503
(052) 996-7346
(205) 996-6830
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36479
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2016
Last updated
01/20/2023
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