Organization
EASTERN MEDICAL SPECIALISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE P RONK (PRACTICE MANAGER)
(205) 838-3800
Entity
Organization
Contact information
Practice address
48 MEDICAL PARK DR E, SUITE 457, BIRMINGHAM, AL 35235-3400
(205) 838-3800
(205) 838-3206
Mailing address
48 MEDICAL PARK DR E, SUITE 457, BIRMINGHAM, AL 35235-3400
(205) 838-3800
(205) 838-3206
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529302120
—
AL
Enumeration date
11/03/2005
Last updated
05/01/2008
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