Individual
JEWELL H HALANYCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2055 E SOUTH BLVD, SUITE 202, MONTGOMERY, AL 36116-2002
(334) 284-5211
(334) 284-9020
Mailing address
2055 E SOUTH BLVD, SUITE 202, MONTGOMERY, AL 36116-2001
(334) 284-5211
(334) 284-9020
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00025408
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051517650
BCBS
AL
05
—
051517650
—
AL
01
—
636005396005
HUMANA GOLD CHOICE MEDICARE
—
Enumeration date
03/23/2006
Last updated
01/10/2013
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