Individual
JOHN S BIVONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2201 N AIRPORT RD, JASPER, AL 35504-7058
(205) 221-9351
(205) 221-4353
Mailing address
PO BOX 1474, JASPER, AL 35502-1474
(205) 221-9351
(205) 221-4353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00027607
AL
Other
Enumeration date
01/06/2007
Last updated
11/30/2018
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