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Ms. Andrea Moore Jost, PA
Surgical Physician Assistant in Birmingham, Alabama
NPI 1457453052

Andrea Moore Jost is a Surgical Physician Assistant based in Birmingham, AL and is specialized in Surgical. Andrea Moore Jost practices in Birmingham, AL and has the professional credentials of PA. The NPI Number for Andrea Moore Jost is 1457453052 and holds a License No. PA-482 (Alabama).

The current practice location address for Andrea Moore Jost is 4517 Southlake Pkwy, Birmingham, AL and can be reached out via phone at 205-985-4111 and via fax at 205-985-4326. You can also correspond with Andrea Moore Jost through the mailing address at PO BOX 830791, BIRMINGHAM, AL - 35283-0791 (mailing address contact number: 205-985-4111).

Location: 4517 Southlake Pkwy, Birmingham, AL, 35283-0791
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Provider Profile Details
NPI Number
1457453052
Provider Name
Andrea Moore Jost
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
4517 Southlake Pkwy, Birmingham, AL, 35283-0791
Phone Number
205-985-4111
Fax Number
205-985-4326
Provider Enumeration Date
09/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
TA-1605 01 AL STATE LICENSE NUMBER
051536228 05 AL
PA-482 01 AL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
4517 Southlake Pkwy
City
State
Zip
35244-3280
Phone Number
205-985-4111
Fax Number
205-985-4326
person
Provider Business Mailing Address Details
Address
4517 Southlake Pkwy
City
State
Zip
35244-3280
Phone Number
205-985-4111
Fax Number
205-985-4326
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA-482 (Alabama)
Definition
Definition to come...
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