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Individual

MRS. JORDAN KEELEY IVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
104 J E BRISCOE WAY, MADISON, AL 35758-4822
(256) 705-3000
Mailing address
1212 HUNTSVILLE HILLS DR SE, HUNTSVILLE, AL 35802-2722
(334) 714-4587

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
44203
AL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/30/2018
Last updated
12/21/2022
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