Individual
JACK MELVIN DABBS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
652 LOMB AVE, BIRMINGHAM, AL 35211
(205) 787-1457
(205) 788-0073
Mailing address
652 LOMB AVE, BIRMINGHAM, AL 35211
(205) 787-1457
(205) 788-0073
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
00002799
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000001564
—
AL
01
—
042010575
PALMETTO GOVERNMENT CLAIM
—
01
—
1010211
UNITED HEALTHCARE
—
Enumeration date
03/08/2006
Last updated
11/18/2011
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