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1932300571

NPI Code Detail

MEDICARE: JIMMIE LEE DOTSON JR. M.D.

MEDICARE: JIMMIE LEE DOTSON JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	21119	MS
2	207R00000X	Internal Medicine Physician	42681	TN
3	207RC0000X	Cardiovascular Disease Physician	MD.33365	AL
4	208M00000X	Hospitalist Physician	21119	MS
5	390200000X	Student in an Organized Health Care Education/Training Program
6	207RI0011X	Interventional Cardiology Physician	33365	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932300571
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JIMMIE LEE DOTSON JR. M.D.

Provider Business Mailing Address
First Line	:	3680 GRANDVIEW PKWY STE 200
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35243-3411
Country	:	US
Telephone Number	:	205-971-7500
Fax Number	:	205-971-7571

Provider Business Practice Location Address
First Line	:	3680 GRANDVIEW PKWY STE 200
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35243-3411
Country	:	US
Telephone Number	:	205-971-7500
Fax Number	:	205-971-7571

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2007
Last Update Date	:	04/18/2025

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Directions to “ JIMMIE LEE DOTSON JR. M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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