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Organization

JERRY MCLANE INTERNAL MEDICINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY KELLY SULLIVAN R.N. (OFFICE MANAGER)
(205) 424-5664
Entity
Organization

Contact information

Practice address
1088 9TH AVE SW, SUITE 106, BESSEMER, AL 35022-4530
(205) 424-5664
(205) 424-1564
Mailing address
PO BOX 430, BESSEMER, AL 35021-0430
(205) 424-5664
(205) 424-1564

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8903
AL

Other

Enumeration date
06/22/2007
Last updated
08/22/2020
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