Individual
DR. MARK ALAN PREVOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2950 HIGHWAY 78 E, JASPER, AL 35501-8903
(205) 221-5374
(205) 385-0382
Mailing address
2950 HIGHWAY 78 E, JASPER, AL 35501-8903
(205) 221-5374
(205) 385-0382
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
24066
AL
207XS0117X
Orthopaedic Surgery of the Spine Physician
24066
AL
Other
Enumeration date
07/12/2005
Last updated
10/25/2023
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