SAMUEL RAY MARCROM

BIRMINGHAM, AL
NPI1093127425
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0001X 
(Licence: AL  MD.34345)
Additional Taxonomies2085R0001X 
(Licence: AL  34345)
Enumeration Date2014-05-20
Last Update Date2024-02-01
Business Address
SAMUEL RAY MARCROM M.D.
619 19TH ST S
BIRMINGHAM, AL 35249-2803
Phone number: 205-934-4011
Mailing Address
SAMUEL RAY MARCROM M.D.
PO BOX 55310
BIRMINGHAM, AL 35255-5310
Phone number: 205-731-9701
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