Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 28059 | AL |
Y | 111NI0900X | Internist | 28059 | AL |
N | 208000000X | Pediatrician | 28059 | AL |
NPI | 1013085679 |
---|---|
Provider Name | Marquisha Denise Moore Jarmon |
First Address | Birmingham, AL 35211-1333 |
Second Address | Birmingham, AL 35211-1333 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2006 |
Last Update Date | 08/04/2013 |