Provider Demographics
NPI:1336383819
Name:BELUE, GABRIEL NEAL (MD)
Entity Type:Individual
Prefix:
First Name:GABRIEL
Middle Name:NEAL
Last Name:BELUE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:507 HARLEY ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBORO
Mailing Address - State:AL
Mailing Address - Zip Code:35768-4218
Mailing Address - Country:US
Mailing Address - Phone:256-259-0061
Mailing Address - Fax:256-259-0668
Practice Address - Street 1:619 19TH ST S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35249-1900
Practice Address - Country:US
Practice Address - Phone:256-259-0061
Practice Address - Fax:256-259-0668
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-28
Last Update Date:2012-04-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ALMD.30730207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine