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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 DBA CIVITAN-SPARKS CLINICS
Other names
Civitan-Sparks Clinics/Option Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF ALABAMA AT BIRMINGHAM DBA CIVITAN-SPARKS CLINICS
Authorized official
DR. ALAN K PERCY MD (DIRECTOR)
(205) 934-1055
Entity
Organization
Contact information
Practice address
930 20TH ST S, SUITE 101, BIRMINGHAM, AL 35205-2610
(205) 934-5471
(205) 975-2380
Mailing address
1530 3RD AVE S, CH19 307, BIRMINGHAM, AL 35294-0002
(205) 934-5471
(205) 975-2380
Taxonomy
Speciality
Code
Description
License number
State
261QA3000X
Augmentative Communication Clinic/Center
—
NULL
261QD0000X
Dental Clinic/Center
—
NULL
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
NULL
261QH0700X
Hearing and Speech Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
Other
Enumeration date
09/06/2007
Last updated
10/22/2007
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