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Organization
UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION PC
Active
Organization
UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION PC
Active
Other names
UAHSF Pediatric Cardiology
Organization subpart
No
Provider details
NPI number
Authorized official
JAN GENTRY (DIRECTOR PROFESSIONAL SERVICES)
(205) 975-8850
Entity
Organization
Contact information
Practice address
1700 6TH AVE S, BIRMINGHAM, AL 35233-1802
(205) 934-3460
Mailing address
PO BOX 55823, BIRMINGHAM, AL 35255-5823
(205) 934-4948
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
—
NULL
2080P0202X
Pediatric Cardiology Physician
—
—
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/08/2006
Last updated
02/23/2022
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