Over The Mountain Internal Medicine Llc | |
2018 Brookwood Medical Ctr Dr Ste 315 Birmingham AL 35209-6898 | |
(205) 877-5400 | |
(205) 877-5040 |
Full Name | Over The Mountain Internal Medicine Llc |
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Speciality | Internal Medicine |
Location | 2018 Brookwood Medical Ctr Dr, Birmingham, Alabama |
Authorized Official Name and Position | Vicki R Martin (OWNER/PHYSICIAN) |
Authorized Official Contact | 2058775400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Over The Mountain Internal Medicine Llc 2018 Brookwood Medical Ctr Dr Ste 315 Birmingham AL 35209-6898 Ph: (205) 877-5400 | Over The Mountain Internal Medicine Llc 2018 Brookwood Medical Ctr Dr Ste 315 Birmingham AL 35209-6898 Ph: (205) 877-5400 |
NPI Number | 1104059344 |
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Provider Enumeration Date | 09/03/2009 |
Last Update Date | 12/11/2009 |
Identifier | Type | State | Issuer |
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1104059344 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 14251 (Alabama) | Primary |
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