Provider Information for 1184921801
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JESSICA MCKAY
Sex: Female
NPI: 1184921801
Last Updated: 2024-07-19
Certification Date: 2024-07-19
Certification Date: 2024-07-19
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1184921801 | ||||||||||||
| Enumeration Date | 2011-02-15 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 2009 MEDICAL CENTER DR BAY MINETTE, AL 36507-4163 United States Phone: | Fax: | ||||||||||||
| Primary Practice Address | 2009 MEDICAL CENTER DR BAY MINETTE, AL 36507-4163 United States Phone: 251-937-2010 | Fax: | ||||||||||||
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