# UNIVERSITY OF ALABAMA AT BIRMINGHAM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Civitan-Sparks Clinics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487783213
- **Authorized official:** DR. ALAN K PERCY M.D. (DIRECTOR)
- **Authorized official phone:** (205) 934-0741

## Contact information

- **Practice address:** 930 20TH ST S, SUITE 101, BIRMINGHAM, AL 35205-2610
- **Practice address phone:** (205) 934-5471
- **Practice address fax:** (205) 975-2380
- **Mailing address:** 1530 3RD AVE S \# CH19-307, BIRMINGHAM, AL 35294-0002
- **Mailing address phone:** (205) 934-5471
- **Mailing address fax:** (205) 975-2380

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QA3000X | Augmentative Communication Clinic/Center | — | NULL | — |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | — |
| 261QH0700X | Hearing and Speech Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/05/2007
- **Last updated:** 10/19/2007