| Nutrifocus | |
|
4126 Autumn Ln Vestavia AL 35243-5209 | |
| (205) 317-4111 | |
| Not Available |
| Full Name | Nutrifocus |
|---|---|
| Speciality | Clinic/center |
| Location | 4126 Autumn Ln, Vestavia, Alabama |
| Authorized Official Name and Position | Suzanne Eleazer Pirkle (OWNER) |
| Authorized Official Contact | 2053174111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nutrifocus 111 Oglesby Ave Birmingham AL 35209-6227 Ph: (205) 317-4111 | Nutrifocus 4126 Autumn Ln Vestavia AL 35243-5209 Ph: (205) 317-4111 |
| NPI Number | 1558992396 |
|---|---|
| Provider Enumeration Date | 01/30/2020 |
| Last Update Date | 01/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558992396 | NPI | - | NPPES |
| 511-28637 | Other | AL | BCBS-AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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