Adderholt, Jerry Gregory

Adderholt, Jerry Gregory is an individual health care provider with primary practice located at 426 East Dr.Hicks Blvd , Florence AL 35630-6625. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Neurological Surgery is his primary health care specialty. Adderholt, Jerry Gregory can be contacted via phone (256) 764-7721.

Contact Information

Primary practice address
426 East Dr.Hicks Blvd Florence AL 35630-6625
Phone: (256) 764-7721
Fax: (256) 764-8589
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 19765 Alabama
Other Service Providers / Specialist 174400000X 19765 Alabama

Profile Details

NPI number 1013951185
LBN Legal business name Adderholt, Jerry Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated May 3rd, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013951185 NPPES
Alabama MEDICAID 009999445

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