Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | MD.36917 | AL |
NPI | 1073889275 |
---|---|
Provider Name | Dr. Jerry Matthew Digman |
First Address | Vestavia, AL 35243-4724 |
Second Address | Birmingham, AL 35233-1711 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2012 |
Last Update Date | 10/04/2019 |