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Organization
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Active
Organization
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Active
Parent organization
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Other names
UAB Department of Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Authorized official
MRS. TYRA JOHNSON-PIRTLE C.P.A (ADMINISTRATOR)
(205) 934-1598
Entity
Organization
Contact information
Practice address
930 20TH ST S, SUITE 325, BIRMINGHAM, AL 35205-2610
(205) 934-9700
(205) 975-6962
Mailing address
930 20TH ST S, SUITE 325, BIRMINGHAM, AL 35205-2610
(205) 934-9700
(205) 975-6962
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/19/2006
Last updated
04/20/2008
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