Individual
JESSE TOM PEURIFOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1340 HIGHWAY 231 S, SUITE 5, TROY, AL 36081-3011
(334) 670-5568
(334) 670-5279
Mailing address
1330 HIGHWAY 231 S, TROY, AL 36081-3058
(334) 670-5474
(334) 670-5446
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24955
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009934676
—
AL
Enumeration date
08/03/2006
Last updated
04/03/2017
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