Individual
JORGE BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2152 OLD SPRINGVILLE RD, BIRMINGHAM, AL 35215
(205) 838-6000
(205) 838-6078
Mailing address
2152 OLD SPRINGVILLE RD, BIRMINGHAM, AL 35215
(205) 838-6000
(205) 838-6078
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L.3994
AL
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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