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Jeremy Ty Blackwell, MD
Family Medicine Physician in Jasper, Alabama
NPI 1205053352

Jeremy Ty Blackwell is a Family Medicine Physician based in Jasper, AL. Jeremy Ty Blackwell practices in Jasper, AL and has the professional credentials of MD. The NPI Number for Jeremy Ty Blackwell is 1205053352 and holds a License No. 27715 (Alabama).

The current practice location address for Jeremy Ty Blackwell is 1450 Jones Dairy Road, Jasper, AL and can be reached out via phone at 205-387-8159 and via fax at 205-387-8262.

Location: 1450 Jones Dairy Road, Jasper, AL, 35501-6109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205053352
Provider Name
Jeremy Ty Blackwell
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1450 Jones Dairy Road, Jasper, AL, 35501-6109
Phone Number
205-387-8159
Fax Number
205-387-8262
Provider Enumeration Date
04/19/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1450 Jones Dairy Road
City
Jasper
State
Alabama
Zip
35501-6108
Phone Number
205-387-8159
Fax Number
205-387-8262
person
Provider Business Mailing Address Details
Address
1450 Jones Dairy Road
City
Jasper
State
Alabama
Zip
35501-6108
Phone Number
205-387-8159
Fax Number
205-387-8262
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
27715 (Alabama)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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