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Individual

JASON DOUGLAS MOELLINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3485 INDEPENDENCE DR, HOMEWOOD, AL 35209-5603
(205) 930-0920
(205) 445-0115
Mailing address
3485 INDEPENDENCE DR, HOMEWOOD, AL 35209-5603
(205) 930-0920
(205) 445-0115

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0002078
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0366100001
CIGNA GOVERNMENT SERVICE PTAN
AL
01
102I346820
MEDICARE PTAN
AL
05
150817
AL
01
511-37628
BCBS
AL
Enumeration date
10/10/2006
Last updated
09/03/2013
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