Individual
DR. JERE MICHAEL DISNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
639 LOTUS DR N, SUITE B, MANDEVILLE, LA 70471-2926
(985) 626-6133
(985) 626-6136
Mailing address
1294 LEGACY DR, BIRMINGHAM, AL 35242-6049
(205) 821-7470
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
00023225
AL
Other
Enumeration date
09/12/2006
Last updated
07/08/2007
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