| Birmingham Family Wellness | |
|
401 Tuscaloosa Ave Sw Birmingham AL 35211-1416 | |
| (205) 783-9877 | |
| (205) 783-9866 |
| Full Name | Birmingham Family Wellness |
|---|---|
| Speciality | Internal Medicine |
| Location | 401 Tuscaloosa Ave Sw, Birmingham, Alabama |
| Authorized Official Name and Position | Anjanetta Latrice Foster (OWNER) |
| Authorized Official Contact | 2057839877 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Birmingham Family Wellness 401 Tuscaloosa Ave Sw Birmingham AL 35211-1416 Ph: (205) 783-9877 | Birmingham Family Wellness 401 Tuscaloosa Ave Sw Birmingham AL 35211-1416 Ph: (205) 783-9877 |
| NPI Number | 1831227271 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 02/19/2008 |
| Medicare PECOS PAC ID | 8527030303 |
|---|---|
| Medicare Enrollment ID | O20040811001052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831227271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 18217 (Alabama) | Primary |
| Provider Name | Anjanetta L Foster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528164522 PECOS PAC ID: 2163407396 Enrollment ID: I20040622000958 |
| Provider Name | Tori Monique Hollis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477002103 PECOS PAC ID: 1658625546 Enrollment ID: I20181112002561 |
| Provider Name | Ciara Kenyatta Whitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881211647 PECOS PAC ID: 9739575226 Enrollment ID: I20220411000112 |
| Provider Name | Sherwanna Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831784164 PECOS PAC ID: 5193103257 Enrollment ID: I20220601001306 |
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