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Organization
BROOKWOOD WOMENS DIAGNOSTIC CENTER, LLC
Active
Organization
BROOKWOOD WOMENS DIAGNOSTIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA GILBERT (OFFICER/AUTHORIZED OFFICIAL)
(214) 236-8249
Entity
Organization
Contact information
Practice address
2006 MEDICAL CENTER DR STE 112, BIRMINGHAM, AL 35209-6823
(205) 877-1000
Mailing address
PO BOX 740799, ATLANTA, GA 30374-0799
(205) 877-2453
(205) 871-0534
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
11009
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14247
HEALTH PARTNER
—
01
—
147728
FDA#
GA
01
—
1486270
UMWA
GA
01
—
16-10437
UHC
GA
Enumeration date
06/26/2006
Last updated
05/10/2021
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