Provider Demographics
NPI:1164746806
Name:ADAIR, JENNIFER GREMSE (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:GREMSE
Last Name:ADAIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3920 AIRPORT BLVD.
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-1622
Mailing Address - Country:US
Mailing Address - Phone:251-342-3810
Mailing Address - Fax:251-344-6752
Practice Address - Street 1:3920 AIRPORT BLVD.
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-1622
Practice Address - Country:US
Practice Address - Phone:251-342-3810
Practice Address - Fax:251-344-6752
Is Sole Proprietor?:No
Enumeration Date:2010-03-24
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.32435208000000X
AL32435208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics