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Individual

DR. MARK ALAN PREVOST II

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
MD.36675
AL
207XS0117X
Orthopaedic Surgery of the Spine Physician
MD.36675
AL

Other

Enumeration date
03/31/2016
Last updated
10/25/2023
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