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Individual

DR. JILL SABOL TIRPACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2010 PATTON CHAPEL RD, SUITE 103, HOOVER, AL 35216-5782
(205) 822-0212
Mailing address
2153 RIVERCHASE OFFICE RD, BIRMINGHAM, AL 35244-1836
(205) 986-0080
(205) 986-0081

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
00020629
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051531511
BLUE CROSS
AL
Enumeration date
09/01/2006
Last updated
04/15/2010
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