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1174613160
PRAVEEN JETTY
BIRMINGHAM, AL
NPI
1174613160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: AL 21439)
Enumeration Date
2006-10-13
Last Update Date
2014-04-09
Business Address
Dr. PRAVEEN JETTY M.D.
401 TUSCALOOSA AVE. S.W., SUITE 110
BIRMINGHAM, AL 35211
Phone number: 205-785-2000
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Mailing Address
Dr. PRAVEEN JETTY M.D.
401 TUSCALOOSA AVE. S.W., SUITE 110
BIRMINGHAM, AL 35211
Phone number: 205-785-2000
Copy
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