Individual
DR. JASON AYRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2425 HIGHWAY 77, SOUTHSIDE, AL 35907-7907
(256) 442-4141
Mailing address
2425 HIGHWAY 77, SOUTHSIDE, AL 35907-7907
(256) 442-4141
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24199
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051516123
—
AL
Enumeration date
04/11/2006
Last updated
10/01/2020
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