JARED SCOTT BROCKINGTON

BIRMINGHAM, AL
NPI1952680639
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: AL  DO.2974)
Additional Taxonomies208000000X Pediatrics
(Licence: TX  p8647)
Enumeration Date2011-08-11
Last Update Date2022-08-25
Business Address
JARED SCOTT BROCKINGTON D.O.
1308 TUSCALOOSA AVE SW
BIRMINGHAM, AL 35211-1948
Phone number: 205-679-6325
Mailing Address
JARED SCOTT BROCKINGTON D.O.
405 BELCHER ST
CENTREVILLE, AL 35042-2946
Phone number: 205-926-2992