| Uab Department Of Family Medicine | |
|
930 20th St S Suite 325 Birmingham AL 35205-2610 | |
| (205) 934-9700 | |
| (205) 975-6962 |
| Full Name | Uab Department Of Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 930 20th St S, Birmingham, Alabama |
| Authorized Official Name and Position | Tyra Johnson-pirtle (ADMINISTRATOR) |
| Authorized Official Contact | 2059341598 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uab Department Of Family Medicine 930 20th St S Suite 325 Birmingham AL 35205-2610 Ph: (205) 934-9700 | Uab Department Of Family Medicine 930 20th St S Suite 325 Birmingham AL 35205-2610 Ph: (205) 934-9700 |
| NPI Number | 1063576858 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063576858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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