JEREMY TY BLACKWELL

JASPER, AL
NPI1205053352
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AL  27715)
Enumeration Date2007-04-19
Last Update Date2013-02-01
Business Address
-- JEREMY TY BLACKWELL M.D.
1450 JONES DAIRY ROAD BLDG 900
JASPER, AL 35501-6108
Phone number: 205-387-8159
Mailing Address
-- JEREMY TY BLACKWELL M.D.
1450 JONES DAIRY ROAD BLDG 600
JASPER, AL 35501-6109
Phone number: 205-387-8159
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