Individual
JOHN JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
930 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4312
(256) 539-4080
(256) 539-4099
Mailing address
930 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4312
(256) 539-4080
(256) 539-4099
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
28549
AL
207RC0000X
Cardiovascular Disease Physician
28549
AL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
28549
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173975
—
AL
01
—
511-63696
BCBS
AL
Enumeration date
05/04/2007
Last updated
11/09/2015
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