Individual
JEREMY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
70 PLAZA DR, PELL CITY, AL 35125
(205) 814-9284
(205) 814-9626
Mailing address
70 PLAZA DR, PELL CITY, AL 35125-9314
(205) 814-9284
(205) 814-9626
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
DO880
AL
208VP0000X
Pain Medicine Physician
DO.880
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009940646
—
AL
Enumeration date
06/27/2006
Last updated
07/02/2019
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