# UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UAHSF Pediatric Cardiology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528078219
- **Authorized official:** JAN GENTRY (DIRECTOR PROFESSIONAL SERVICES)
- **Authorized official phone:** (205) 975-8850

## Contact information

- **Practice address:** 1700 6TH AVE S, BIRMINGHAM, AL 35233-1802
- **Practice address phone:** (205) 934-3460
- **Mailing address:** PO BOX 55823, BIRMINGHAM, AL 35255-5823
- **Mailing address phone:** (205) 934-4948

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0202X | Pediatric Cardiology Physician | — | NULL | — |
| 2080P0202X | Pediatric Cardiology Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/08/2006
- **Last updated:** 02/23/2022
