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NPI Code Detail

MEDICARE: JULIAN E MCINTYRE PC

MEDICARE: JULIAN E MCINTYRE PC
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
1174400000XSpecialist15065AL

General Provider Information

NPI Number : 1073854105
Entity Type Code : Organization
Provider Name (Legal Business Name) : JULIAN E MCINTYRE PC
Provider Business Mailing Address
First Line : 1704 S PERRY ST
Second Line :
City : MONTGOMERY
State : AL
Zip : 36104-5608
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2601 WOODLEY PARK DR
Second Line :
City : MONTGOMERY
State : AL
Zip : 36116-3834
Country : US
Telephone Number : 334-288-3400
Fax Number : 334-288-0188
Authorized Official
Title or Position : PHYSICIAN
Name : JULIAN E MCINTYRE
Credential : MD
Telephone Number : 334-430-9282
Provider Enumeration Date : 03/14/2013
Last Update Date : 03/14/2013

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Directions to “JULIAN E MCINTYRE PC ” Practice Location

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