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Organization

PHP OF ALABAMA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. GLORIA SANFORD (PROGRAM DIRECTOR)
(205) 854-7272
Entity
Organization

Contact information

Practice address
2352 CENTER POINT PKWY, BIRMINGHAM, AL 35215-3608
(205) 854-7272
(205) 854-7770
Mailing address
2352 CENTER POINT PKWY, BIRMINGHAM, AL 35215-3608
(205) 854-7272
(205) 854-7770

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
AL

Other

Enumeration date
07/15/2005
Last updated
08/22/2020
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