| Doctor Name: | JERRY BRUCE HANKINS |
| NPI Number: | 1952367377 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 00017795 |
| Business Practice Address: | 12 Cropwell Dr Pell City, AL - 351287552 |
| Business Phone Number: | 2058140404 |
| Business Fax Number: | 2058140407 |
| Mailing Address: | 111 Reach Way, BIRMINGHAM |
| State: | AL |
| Postal Code: | 352428669 |
| Phone Number: | 2058140404 |
| Fax Number: | 2058140407 |
| NPI Enumeration Date: | 04/25/2006 |
| NPI Last Update Date: | 09/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 00017795 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |