Individual
DR. JERLYN MCCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 MEDICAL DR, DOTHAN, AL 36303-6903
(334) 702-7222
(334) 702-1944
Mailing address
101 MEDICAL DR, DOTHAN, AL 36303-6903
(334) 702-7222
(334) 702-1944
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
25317
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051553959
—
AL
05
—
127946
—
AL
Enumeration date
01/26/2007
Last updated
02/24/2012
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