Provider Demographics
NPI:1871786244
Name:JEAN F. POINTON P.C.
Entity type:Organization
Organization Name:JEAN F. POINTON P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:F
Authorized Official - Last Name:POINTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-758-6484
Mailing Address - Street 1:2012 13TH ST
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35401-2922
Mailing Address - Country:US
Mailing Address - Phone:205-758-6484
Mailing Address - Fax:205-758-3796
Practice Address - Street 1:850 PETER BRYCE BLVD
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401-7457
Practice Address - Country:US
Practice Address - Phone:205-348-1265
Practice Address - Fax:205-348-5676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-20
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529919540Medicaid
ALJ695Medicare PIN