| Medical Education Faculty | |
|
3686 Grandview Pkwy Suite 810 Birmingham AL 35243-3407 | |
| (205) 971-5135 | |
| (205) 971-5694 |
| Full Name | Medical Education Faculty |
|---|---|
| Speciality | Internal Medicine |
| Location | 3686 Grandview Pkwy, Birmingham, Alabama |
| Authorized Official Name and Position | Stan Breaux (EXECUTIVE DIRECTOR OF MEDICAL ED.) |
| Authorized Official Contact | 2055994823 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Education Faculty 3686 Grandview Pkwy Suite 810 Birmingham AL 35243-3407 Ph: (205) 971-5135 | Medical Education Faculty 3686 Grandview Pkwy Suite 810 Birmingham AL 35243-3407 Ph: (205) 971-5135 |
| NPI Number | 1598711616 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 01/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598711616 | NPI | - | NPPES |
| 529402710 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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