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Individual

JAMES JURE MATIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
900 DEER TRACE RD, PELL CITY, PELL CITY, AL 35125-6452
(205) 814-2104
(205) 814-2145
Mailing address
PO BOX 11407, BIRMINGHAM, BIRMINGHAM, AL 35246-1061
(205) 437-6098
(205) 437-5998

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
00017681
AL
207Q00000X
Family Medicine Physician
17681
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051520969
BCBS
AL
05
051520969
AL
01
5963165
AETNA
AL
Enumeration date
09/19/2005
Last updated
06/05/2008
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