Individual
JERRY ALEX LUSHINGTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
208 MCFARLAND CIR N, TUSCALOOSA, AL 35406-1800
(205) 345-7000
(205) 343-0910
Mailing address
208 MCFARLAND CIR N, SUITE 100, TUSCALOOSA, AL 35406-1800
(205) 345-7000
(205) 343-0910
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
14100
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000084372
—
AL
05
—
009992240
—
AL
05
—
009992250
—
AL
05
—
009992260
—
AL
05
—
009992270
—
AL
05
—
009992280
—
AL
05
—
009992310
—
AL
05
—
009992320
—
AL
05
—
009992330
—
AL
05
—
009992340
—
AL
05
—
009992350
—
AL
05
—
009992360
—
AL
05
—
009992370
—
AL
05
—
009992410
—
AL
Enumeration date
05/28/2006
Last updated
09/01/2022
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