Individual
JACOB MURDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6997 PANNELL RD, TRUSSVILLE, AL 35173-1736
(205) 903-5448
Mailing address
6997 PANNELL RD, TRUSSVILLE, AL 35173-1736
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/14/2017
Last updated
09/14/2017
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