Individual
DINA RIYAD JANNUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
426 E DR HICKS BLVD, FLORENCE, AL 35630-5763
(256) 764-7721
(256) 764-8589
Mailing address
426 E DR HICKS BLVD, FLORENCE, AL 35630-5763
(256) 764-7721
(256) 764-8589
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
15560
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009960725
—
AL
01
—
51521155
BLUE CROSS BLUE SHIELD
AL
Enumeration date
10/02/2006
Last updated
06/23/2010
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