Individual provider · NPI-1

John S Bivona, MD

Family Medicine · Jasper, AL

NPI number1740338904
StatusActive
Last updated in NPPESNov 30, 2018

Details

NPI
1740338904
Entity type
Individual (NPI-1)
Name
John S Bivona
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jan 6, 2007
Last updated
Nov 30, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine00027607ALYes

Practice location

2201 N Airport Rd
Jasper, AL 35504-7058

Phone 205-221-9351 · Fax 205-221-4353

Mailing address

Po Box 1474
Jasper, AL 35502-1474

Phone 205-221-9351 · Fax 205-221-4353

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