# UNIVERSITY OF ALABAMA AT BIRMINGHAM

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNIVERSITY OF ALABAMA AT BIRMINGHAM
- **Other names:** Russell Wound Care Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1821351669
- **Legal business name:** UNIVERSITY OF ALABAMA AT BIRMINGHAM
- **Authorized official:** MRS. MARY BETH BRISCOE (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (205) 975-5413

## Contact information

- **Practice address:** UAB RUSSELL CLINIC, 1813 6TH AVE N, SUITE M120, BIRMINGHAM, AL 35249-0001
- **Practice address phone:** (205) 996-9260
- **Mailing address:** PO BOX 11407, DRAWER 624, BIRMINGHAM, AL 35246-0001
- **Mailing address phone:** (205) 437-6098

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/18/2012
- **Last updated:** 03/11/2013