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Individual

MS. ZOE ELLEN FORNBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPAS, PA-C, MPH

Contact information

Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-9100
Mailing address
1415 THIRD AVENUE SOUTH, APT 741, BIRMINGHAM, AL 35233
(239) 287-4632

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1181510
AL

Other

Enumeration date
03/22/2021
Last updated
05/08/2022
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