NPI 1174749717

Jacqueline Maida Bergdoll, MD

Practitioner General Practice Physician Seale, AL

Practice location

Address: 30 Uchee Pines Rd Lot 75, Seale, AL 36875-5726
Phone: (334) 855-4764
Fax: (334) 855-9014
Mailing address: 30 Uchee Pines Rd Lot 61, Seale, AL 36875-5734

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 4301077244 (MI)

Other General Practice providers in Alabama →

Registry record

NPI: 1174749717
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.