Individual
DR. CHIVERS R WOODRUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1220 17TH ST S, BIRMINGHAM, AL 35205-4747
(256) 532-1888
(256) 532-3941
Mailing address
PO BOX 660986, VESTAVIA HILLS, AL 35266-0986
(256) 532-1888
(256) 532-3941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00007007
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000020921
—
AL
05
—
009912606
—
AL
01
—
515-44238
BCBS
—
01
—
P00077538
MEDICARE RAILROAD
—
Enumeration date
09/02/2005
Last updated
05/12/2008
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