Jimmie Council Blan, PA

NPI #1093048332 in Mobile, Alabama

Provider Information

NPI Number
1093048332
Entity Type
Individual
Name
Jimmie Council Blan, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA
Enumeration Date
Sep 17, 2009
Last Updated
Jul 27, 2010

Practice Location

Address
100 MEMORIAL HOSPITAL DR
Address 2
SUITE 3A
City
Mobile
State
Alabama
ZIP Code
36608-1183
Phone
(251) 342-2641

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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