Jennings, George Russell
Jennings, George Russell is an sole proprietor health care provider with primary practice located at 203 Avalon Ave 300, Muscle Shoals AL 35661-2869. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Jennings, George Russell can be contacted via phone (256) 386-1450.Contact Information
Primary practice address
203 Avalon Ave 300
Muscle Shoals AL 35661-2869
Phone: (256) 386-1450
Fax: (256) 386-1463
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 30640 | Alabama |
Profile Details
| NPI number | 1518184035 |
|---|---|
| LBN Legal business name | Jennings, George Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Nov 1st, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518184035 | NPPES |
| Alabama | MEDICAID | 148463 |
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