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Individual

SUZANNE JARVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPT

Contact information

Practice address
674 OLLIE AVE, CLANTON, AL 35045-2246
(205) 280-1100
(205) 280-1575
Mailing address
1908 FLINT RD SE, DECATUR, AL 35601-6031
(256) 340-9708
(256) 340-9624

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH1757
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1003819608
GROUP NPI
AL
01
515-39340
BCBS
AL
01
515-39343
BCBS
AL
01
515-39344
BCBS
AL
05
529917620
AL
Enumeration date
08/24/2007
Last updated
11/06/2014
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