Jerry Mcknight
Internist Family Doctor Family Doctor - Geriatric Medicine Geriatric Medicine
850 Peter Bryce Blvd
Tuscaloosa
, Alabama 35401-7419
Jerry Mcknight
Internist Family Doctor Family Doctor - Geriatric Medicine Geriatric Medicine
850 Peter Bryce Blvd
Tuscaloosa
, Alabama 35401-7419
(205) 498-2675
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About
Features
Specialties
- Family Doctor
- Family Doctor - Geriatric Medicine
- Internist
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Jerry Mcknight
- 9174 Parkway E
- Birmingham, AL
- Zip : 35206-1507
- Phone : (205) 498-2675
Second Address
- Jerry Mcknight
- 850 Peter Bryce Blvd
- Tuscaloosa, AL
- Zip : 35401-7419
- Fax : (205) 348-6561
- Phone : (205) 348-1770
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 10970 | AL |
| N | 207QG0300X | Family Doctor - Geriatric Medicine | 10970 | AL |
| N | 207R00000X | Internist | 10970 | AL |
| N | 111NI0900X | Internist | 10970 | AL |
| N | 207RG0300X | Geriatric Medicine | 10970 | AL |
National Provider Identifier
| NPI | 1356311005 |
|---|---|
| Provider Name | Jerry Mcknight |
| First Address | Birmingham, AL 35206-1507 |
| Second Address | Tuscaloosa, AL 35401-7419 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/01/2006 |
| Last Update Date | 06/07/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000011765 | (05) | AL |
| A97856 | (02) | AL |
| AM2520105 | DEA (01) | AL |
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.