person
Jimmie Council Blan, PA
Medical Physician Assistant in Mobile, Alabama
NPI 1093048332

Jimmie Council Blan is a Medical Physician Assistant based in Mobile, AL and is specialized in Medical. Jimmie Council Blan practices in Mobile, AL and has the professional credentials of PA. The NPI Number for Jimmie Council Blan is 1093048332 and holds a License No. PA1692 (Alabama).

The current practice location address for Jimmie Council Blan is 100 Memorial Hospital Dr, Mobile, AL and can be reached out via phone at 251-342-2641 and via fax at 251-343-9507.

Location: 100 Memorial Hospital Dr, Mobile, AL, 36608-1183
person
Provider Profile Details
NPI Number
1093048332
Provider Name
Jimmie Council Blan
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
100 Memorial Hospital Dr, Mobile, AL, 36608-1183
Phone Number
251-342-2641
Fax Number
251-343-9507
Provider Enumeration Date
09/17/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1093048332 05 AL
05110015 01 AL BLUE CROSS/BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
100 Memorial Hospital Dr
City
State
Zip
36608-1183
Phone Number
251-342-2641
Fax Number
251-343-9507
person
Provider Business Mailing Address Details
Address
100 Memorial Hospital Dr
City
State
Zip
36608-1183
Phone Number
251-342-2641
Fax Number
251-343-9507
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA1692 (Alabama)
Definition
Definition to come...
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