# AIDS ALABAMA INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AIDS ALABAMA INC
- **Other names:** Living Well Health Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154983443
- **Legal business name:** AIDS ALABAMA INC
- **Authorized official:** MICHELLE HAWTHORNE MS (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (205) 310-8051

## Contact information

- **Practice address:** 3522 7TH AVE S, BIRMINGHAM, AL 35222-3211
- **Practice address phone:** (205) 324-9822
- **Practice address fax:** (205) 324-9881
- **Mailing address:** 3521 7TH AVE S, BIRMINGHAM, AL 35222-3210
- **Mailing address phone:** (205) 324-9822
- **Mailing address fax:** (205) 324-9881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/08/2019
- **Last updated:** 12/02/2022