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Individual

DR. JIMMY WAYNE DUNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
700 W MARKET ST, ANESTHESIA DEPT, ATHENS, AL 35611-2457
(256) 233-9292
(256) 233-9278
Mailing address
PO BOX 30, ATHENS, AL 35612-0030
(706) 860-2701
(706) 737-2271

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
00017234
AL
207LP2900X
Pain Medicine (Anesthesiology) Physician
17234
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000088910
AL
01
51088910
BLUE CROSS
AL
Enumeration date
02/27/2006
Last updated
02/12/2009
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