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DR. JERRY J. ELLER M.D.

>> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1184606501

Individual Registrant:
DR. JERRY J. ELLER M.D.
Gender: M

Location and contact information for practice:
1221 N WASHINGTON ST  LIVINGSTON, AL 35470-5410 US
Tel: 205-652-9575  Fax: 205-652-7979

Contact information for business:
PO BOX 5166  MERIDIAN, MS 39302-5166 US
Tel: 601-703-9506  Fax: 601-703-3264

Registration Information:
NPI: 1184606501
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
X208000000XAllopathic & Osteopathic Physicians
Pediatrics
AL00008273
X2080P0208XAllopathic & Osteopathic Physicians
Pediatrics
AL00008273

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE CROSS OF AL5102098401




HEALTH CARE JOBS AL - Page 1



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