Individual
JEANNE FAVROT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
3300 CAHABA RD, SUITE 102, BIRMINGHAM, AL 35223-2623
(205) 870-7292
(205) 870-3639
Mailing address
3300 CAHABA RD, SUITE 102, BIRMINGHAM, AL 35223-2623
(205) 870-7292
(205) 870-3639
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20256
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51079403
BLUE CROSS BLUE SHIELD
AL
Enumeration date
07/10/2006
Last updated
09/14/2007
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