Organization
EASTERN HOSPITAL MEDICINE PC
Active
Organization
EASTERN HOSPITAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE T WIMBERLY MD (OWNER)
(205) 874-8306
Entity
Organization
Contact information
Practice address
50 MEDICAL PARK EAST DR, BIRMINGHAM, AL 35235
(205) 838-3000
(205) 874-8333
Mailing address
PO BOX 830674, MSC#716, BIRMINGHAM, AL 35283-0674
(205) 874-8300
(205) 874-8333
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529930180
—
AL
01
—
DF1683
MEDICARE RAILROAD
—
Enumeration date
07/10/2006
Last updated
11/21/2024
Update your record
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