| Brookwood Primary Care-red Mountain, Llc | |
|
1900 20th Ave S Suite 102 Birmingham AL 35209-1381 | |
| (205) 933-4520 | |
| (205) 933-4530 |
| Full Name | Brookwood Primary Care-red Mountain, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1900 20th Ave S, Birmingham, Alabama |
| Authorized Official Name and Position | Wesley O. James (REGIONAL CFO, TENET) |
| Authorized Official Contact | 4042655009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookwood Primary Care-red Mountain, Llc 4902 Valleydale Rd Birmingham AL 35242-4613 Ph: (205) 980-8099 | Brookwood Primary Care-red Mountain, Llc 1900 20th Ave S Suite 102 Birmingham AL 35209-1381 Ph: (205) 933-4520 |
| NPI Number | 1205114840 |
|---|---|
| Provider Enumeration Date | 08/01/2011 |
| Last Update Date | 05/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205114840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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