# CHIVERS R WOODRUFF MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295818573
- **Authorized official:** CHIVERS R WOODRUFF MD (OWNER/MD)
- **Authorized official phone:** (256) 532-1888

## Contact information

- **Practice address:** 1220 17TH ST S, BIRMINGHAM, AL 35205-4747
- **Practice address phone:** (256) 532-1888
- **Practice address fax:** (256) 532-3941
- **Mailing address:** PO BOX 660986, VESTAVIA HILLS, AL 35266-0986
- **Mailing address phone:** (256) 532-1888
- **Mailing address fax:** (256) 532-3941

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 11/26/2007