Individual provider · Type 1 NPI

Jimmie Council Blan, PA

Medical Physician Assistant · Mobile, AL

NPI number 1093048332 Active

Practice location

100 Memorial Hospital Dr, Suite 3A
Mobile, AL 36608-1183

Fax (251) 343-9507

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA1692 (AL)

Medical Physician Assistant: Definition to come...

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About NPI 1093048332

Jimmie Council Blan, PA's National Provider Identifier is 1093048332, issued on Sep 17, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mobile, AL. The record was last updated on Jul 27, 2010.