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Individual

EDWARD V COLVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1700 6TH AVE S, STE 9100, BIRMINGHAM, AL 35233-1802
(205) 934-4948
(205) 212-3002
Mailing address
PO BOX 55823, BIRMINGHAM, AL 35255-5823
(205) 934-4948
(205) 212-3002

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
8388
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000012129
AL
01
00121850
MISSISSIPPI MEDICAID
AL
01
003278752X
GEORGIA MEDICAID
AL
01
11368
HEALTHSPRING
01
2510024
UHC
AL
01
510-12129
BC BS
AL
01
C71653
VIVA
Enumeration date
06/28/2006
Last updated
01/09/2015
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