Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | DO.1891 | AL |
N | 207Q00000X | Family Doctor | 34007241 | OH |
Y | 207Q00000X | Family Doctor | DO.1891 | AL |
N | 207QS0010X | Family Doctor - Sports Medicine | DO.1891 | AL |
NPI | 1033198924 |
---|---|
Provider Name | John Carl Biery JR. |
First Address | Ashford, AL 36312-4593 |
Second Address | Ashford, AL 36312-4593 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2006 |
Last Update Date | 06/12/2021 |