| Bodylogicmd Of Birmingham | |
|
1024 Edenton St Birmingham AL 35242-9258 | |
| (866) 460-3246 | |
| Not Available |
| Full Name | Bodylogicmd Of Birmingham |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1024 Edenton St, Birmingham, Alabama |
| Authorized Official Name and Position | Jeffrey A Donohue (OWNER) |
| Authorized Official Contact | 7704029602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bodylogicmd Of Birmingham 403 Juniper Mill Trce Canton GA 30114-9601 Ph: (770) 402-9602 | Bodylogicmd Of Birmingham 1024 Edenton St Birmingham AL 35242-9258 Ph: (866) 460-3246 |
| NPI Number | 1427407428 |
|---|---|
| Provider Enumeration Date | 06/09/2016 |
| Last Update Date | 06/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427407428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD17416 (Alabama) | Primary |
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