Individual
DR. GEORGE RUSSELL JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
203 AVALON AVE, 300, MUSCLE SHOALS, AL 35661-2869
(256) 386-1450
(256) 386-1463
Mailing address
203 AVALON AVE, 300, MUSCLE SHOALS, AL 35661-2869
(256) 386-1450
(256) 386-1463
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
30640
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148463
—
AL
Enumeration date
04/18/2007
Last updated
11/01/2016
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