Individual
JEREMY KEON PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
15243 GREENFIELD DR STE A, ATHENS, AL 35613-2899
(256) 262-5700
(256) 262-5710
Mailing address
533 MLK RD, ALICEVILLE, AL 35442
(256) 225-1339
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO.3309
AL
207Q00000X
Family Medicine Physician
PRIN-CYGCZT
MS
Other
Enumeration date
06/04/2020
Last updated
07/01/2024
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