Individual
JACQUELINE DANIELLE MIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8000 AL HWY 69, GUNTERSVILLE, AL 35976-7140
(256) 571-8000
(256) 840-3251
Mailing address
PO BOX 11407, DEPT #1536, BIRMINGHAM, AL 35246-1536
(256) 894-6701
(256) 840-3251
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO2146
AL
Other
Enumeration date
03/30/2017
Last updated
10/09/2020
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