JACKSON SCOTT CARLYLE

BIRMINGHAM, AL
NPI1730983453
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-04-02
Last Update Date2025-04-02
Business Address
JACKSON SCOTT CARLYLE DO
625 19TH ST S
BIRMINGHAM, AL 35233-1900
Phone number: 205-934-2490
Mailing Address
JACKSON SCOTT CARLYLE DO
625 19TH ST S
BIRMINGHAM, AL 35233-1900
Phone number: 205-934-2490
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