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500 Southland Dr Ste 232 Vestavia AL 35226-3735 | |
| (205) 260-1014 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 500 Southland Dr Ste 232, Vestavia, Alabama |
| Authorized Official Name and Position | Terra Griffin (CEO) |
| Authorized Official Contact | 2052601014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
500 Southland Dr Ste 232 Vestavia AL 35226-3735 Ph: (205) 260-1014 | 500 Southland Dr Ste 232 Vestavia AL 35226-3735 Ph: (205) 260-1014 |
| NPI Number | 1821652744 |
|---|---|
| Provider Enumeration Date | 04/25/2019 |
| Last Update Date | 04/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821652744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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