Organization
BIRMINGHAM ADDICTION MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY A GOODEN M.D. (OWNER/PHYSICIAN)
(205) 535-3140
Entity
Organization
Contact information
Practice address
2010 BROOKWOOD MEDICAL CTR DR, BIRMINGHAM, AL 35209-6804
(205) 535-3140
(205) 535-3141
Mailing address
PO BOX 1118, TRUSSVILLE, AL 35173-6100
(205) 535-3140
(205) 535-3141
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
27029
AL
208000000X
Pediatrics Physician
27029
AL
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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