Individual
JOHNNY CLARENCE PATE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
975 9TH AVE SW STE 310, BESSEMER, AL 35022-7839
(205) 277-2395
Mailing address
975 9TH AVE SW STE 310, BESSEMER, AL 35022-7839
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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