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NPI Code Detail

MEDICARE: JAYLEEN GRAMS

MEDICARE: JAYLEEN GRAMS
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
1208600000XSurgery Physician29539AL

General Provider Information

NPI Number : 1205816410
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAYLEEN GRAMS
Provider Business Mailing Address
First Line : 619 19TH ST S
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35233-1900
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 619 19TH ST S
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35233-1900
Country : US
Telephone Number : 205-934-4011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2006
Last Update Date : 06/29/2023

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Directions to “ JAYLEEN GRAMS ” Practice Location

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