Individual
JIMMY L CLEVELAND
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
400 TAYLOR RD, MONTGOMERY, AL 36117-3512
(818) 340-9988
(818) 587-2493
Mailing address
PO BOX 2324, BIRMINGHAM, AL 35201-2324
(818) 340-9988
(818) 587-2493
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA106
AL
Other
Enumeration date
05/03/2006
Last updated
07/08/2007
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