| Alabama Aegis, Inc. | |
|
2910 Linden Ave Ste. 203 Birmingham AL 35209-2531 | |
| (205) 871-2007 | |
| (205) 871-2014 |
| Full Name | Alabama Aegis, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 2910 Linden Ave, Birmingham, Alabama |
| Authorized Official Name and Position | Shirley Thames (PRESIDENT) |
| Authorized Official Contact | 2508712007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alabama Aegis, Inc. 2910 Linden Ave Ste. 203 Birmingham AL 35209-2531 Ph: (205) 871-2007 | Alabama Aegis, Inc. 2910 Linden Ave Ste. 203 Birmingham AL 35209-2531 Ph: (205) 871-2007 |
| NPI Number | 1417016528 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 04/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417016528 | NPI | - | NPPES |
| PIP-255-0490C | Other | AL | SOCIAL WORK LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | PIP-255-0490C (Alabama) | Primary |
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