Collins, Jacqueline Leslie Gaddis

Collins, Jacqueline Leslie Gaddis is an individual health care provider with primary practice located at 1700 6Th Ave S , Birmingham AL 35233. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is her primary health care specialty. Collins, Jacqueline Leslie Gaddis can be contacted via phone (205) 934-3460.

Contact Information

Primary practice address
1700 6Th Ave S Birmingham AL 35233
Phone: (205) 934-3460
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X MD.33719 Alabama

Profile Details

NPI number 1821433574
LBN Legal business name Collins, Jacqueline Leslie Gaddis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2013
Last updated Jun 17th, 2019 - about 5 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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