Organization
OVER THE MOUNTAIN INTERNAL MEDICINE LLC
Active
Organization
OVER THE MOUNTAIN INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICKI R MARTIN MD (OWNER/PHYSICIAN)
(205) 877-5400
Entity
Organization
Contact information
Practice address
2018 BROOKWOOD MEDICAL CTR DR, STE 315, BIRMINGHAM, AL 35209-6898
(205) 877-5400
(205) 877-5040
Mailing address
2018 BROOKWOOD MEDICAL CTR DR, STE 315, BIRMINGHAM, AL 35209-6898
(205) 877-5400
(205) 877-5040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14251
AL
Other
Enumeration date
09/03/2009
Last updated
12/11/2009
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