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Individual

PATRICK JACKSON MCGAVIN SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RDN, LD

Contact information

Practice address
3254 VALLEY PARK PL, VESTAVIA, AL 35243-5110
(251) 802-9117
Mailing address
3254 VALLEY PARK PL, VESTAVIA, AL 35243-5110
(251) 802-9117

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2748
AL

Other

Enumeration date
06/13/2017
Last updated
02/13/2024
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