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Individual

MARYELLENY JAMSION MCGREGOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
619 19TH ST S, BIRMINGHAM, AL 35233-1900
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40959
AL
207Q00000X
Family Medicine Physician
MD.40959
AL

Other

Enumeration date
04/24/2017
Last updated
09/06/2024
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