GASTROENTEROLOGY ASSOCIATES WEST PC
Osteopathic Medicine at Princeton Ave, Birmingham, AL

License number
Alabama 6455
Category
Osteopathic Medicine
Type
Gastroenterology
Owner
Name: DR. JACK L. MAULDIN MD
Title: PRESIDENT
Phone: (205) 786-5527
Address
Address
833 Princeton Ave SW SUITE 200D, Birmingham, AL 35211
National Provider ID: 1659506004
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Gastroenterology Associates West, PC

Birmingham, AL

Industry:
GASTROENTEROLOGY
Registration:
Jul 1, 1986
State ID:
111-546
Business type:
Domestic Professional Corporation
Formation place:
Jefferson County
Incorporator:
Gastroenterology Associates East Pc (incorporator)
Agent:
Jack L Mauldin,Birmingham, AL 35211 (Physical)

Gastroenterology Associates West PC

860 Montclair Rd, Birmingham, AL 35213

Status:
Inactive
Industry:
Medical Doctor's Office
Phone:
(205) 592-7877 (Phone)
Presidents:
Jerry L. Kitchens Medical Doctor, inactive,Jack Mauldin President, inactive
Categories:
Physicians & Surgeons

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