Individual
MRS. JACQUELINE BELINDA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 PRINCETON AVE SW, PROFESSIONAL OFFICE BLDG I STE 108, BIRMINGHAM, AL 35211
(205) 780-6090
(205) 780-3060
Mailing address
801 PRINCETON AVE SW, PROFESSIONAL OFFICE BLDG I STE 108, BIRMINGHAM, AL 35211
(205) 780-6090
(205) 780-3060
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
11827
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000089750
—
AL
Enumeration date
09/07/2006
Last updated
06/18/2012
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