Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 1-069315 | AL |
Y | 2086S0102X | Surgical Critical Care | 1-069315 | AL |
N | 2086S0127X | Trauma Surgeon | 1-069315 | AL |
NPI | 1003444993 |
---|---|
Provider Name | Jammie Blair |
First Address | Huntsville, AL 35802-1042 |
Second Address | Birmingham, AL 35233-1926 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2020 |
Last Update Date | 28/03/2020 |