| Civitan-sparks Clinics All-kids | |
|
930 20th St S Suite 101 Birmingham AL 35205-2610 | |
| (205) 934-5471 | |
| (205) 975-2380 |
| Full Name | Civitan-sparks Clinics All-kids |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 930 20th St S, Birmingham, Alabama |
| Authorized Official Name and Position | Latamia White-green (DIRECTOR) |
| Authorized Official Contact | 2059341055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Civitan-sparks Clinics All-kids 1530 3rd Ave S Ch19 307 Birmingham AL 35294-2041 Ph: (205) 934-5471 | Civitan-sparks Clinics All-kids 930 20th St S Suite 101 Birmingham AL 35205-2610 Ph: (205) 934-5471 |
| NPI Number | 1710299425 |
|---|---|
| Provider Enumeration Date | 07/10/2010 |
| Last Update Date | 07/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710299425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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