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Organization
STV SPORTS MEDICINE AND ORTHOPEDICS, LLC
Active
Organization
STV SPORTS MEDICINE AND ORTHOPEDICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON WILLIAMS (CFO)
(205) 939-3699
Entity
Organization
Contact information
Practice address
805 SAINT VINCENTS DR, SUITE 100, BIRMINGHAM, AL 35205-1636
(205) 939-3699
Mailing address
810 SAINT VINCENTS DR, BIRMINGHAM, AL 35205-1601
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Enumeration date
02/04/2016
Last updated
09/06/2017
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