Individual
DR. JACQULINE T PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
930 20TH ST S, BIRMINGHAM, AL 35205-2610
(205) 934-9700
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255
(205) 731-9701
(205) 297-9411
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
00013422
AL
207Q00000X
Family Medicine Physician
Primary
00013422
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009935092
—
AL
Enumeration date
06/27/2006
Last updated
07/21/2022
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