| Bhc - Medicine Montclair | |
|
860 Montclair Rd Suite 550 Birmingham AL 35213-1923 | |
| (205) 599-3000 | |
| (205) 599-4910 |
| Full Name | Bhc - Medicine Montclair |
|---|---|
| Speciality | Internal Medicine |
| Location | 860 Montclair Rd, Birmingham, Alabama |
| Authorized Official Name and Position | G. Scott Fenn (CHIEF INTEGRATION OFFICER) |
| Authorized Official Contact | 2057155415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhc - Medicine Montclair Po Box 13128 Birmingham AL 35202-3128 Ph: (205) 715-5904 | Bhc - Medicine Montclair 860 Montclair Rd Suite 550 Birmingham AL 35213-1923 Ph: (205) 599-3000 |
| NPI Number | 1588628614 |
|---|---|
| Provider Enumeration Date | 04/14/2006 |
| Last Update Date | 03/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588628614 | NPI | - | NPPES |
| 529302200 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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