Individual
ANDRA R FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
20787
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000038571
BLUE CROSS
AL
05
—
000038571
—
AL
05
—
009935198
—
AL
01
—
220024068
RAILROAD MEDICARE
AL
01
—
E97390
VIVA
AL
Enumeration date
06/16/2006
Last updated
07/21/2011
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