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Organization

PROTECTIVE LIFE

Active
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Organization

PROTECTIVE LIFE

Active
Other names
Protective Life BHS Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
JIMMIE BOTTCHER (DIRECTOR)
(205) 268-3265
Entity
Organization

Contact information

Practice address
2801 US 280, BIRMINGHAM, AL 35223
(205) 268-3265
Mailing address
2801 US 280, BIRMINGHAM, AL 35223

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
10/23/2014
Last updated
10/23/2014
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