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Individual

DR. JEAN HILAIRE VINCENT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
22281 US HIGHWAY 72, ATHENS, AL 35613-2600
(256) 444-4401
(256) 444-4403
Mailing address
PO BOX 1077, FLORENCE, AL 35631-1077
(256) 444-4401

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36985
AL
207RI0200X
Infectious Disease Physician
Primary
36985
AL
207RI0200X
Infectious Disease Physician
64061
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
223108
AL
Enumeration date
08/27/2010
Last updated
08/23/2021
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