Dr. Jerry J. Eller
Pediatrician Pediatric Infectious Diseases
1221 N Washington St
Livingston
, Alabama 35470-5410
Dr. Jerry J. Eller
Pediatrician Pediatric Infectious Diseases
1221 N Washington St
Livingston
, Alabama 35470-5410
(601) 703-3264
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About
Features
Specialties
- Pediatrician
- Pediatric Infectious Diseases
Languages spoken
- English
Location
First Address
- Dr. Jerry J. Eller
- Po Box 5166
- Meridian, MS
- Zip : 39302-5166
- Fax : (601) 703-3264
- Phone : (601) 703-9506
Second Address
- Dr. Jerry J. Eller
- 1221 N Washington St
- Livingston, AL
- Zip : 35470-5410
- Fax : (205) 652-7979
- Phone : (205) 652-9575
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 00008273 | AL |
| N | 2080P0208X | Pediatric Infectious Diseases | 00008273 | AL |
National Provider Identifier
| NPI | 1184606501 |
|---|---|
| Provider Name | Dr. Jerry J. Eller |
| First Address | Meridian, MS 39302-5166 |
| Second Address | Livingston, AL 35470-5410 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/11/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 51020984 | BLUE CROSS OF AL (01) | |
| C76652 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.