Organization
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Active
Parent organization
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Other names
UAB Selma Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Authorized official
MR. JEFF DENNEY (ADMINISTRATOR/DIRECTOR)
(334) 875-4184
Entity
Organization
Contact information
Practice address
1023 MEDICAL CENTER PKWY, SUITE 200, SELMA, AL 36701-6780
(334) 875-4184
(334) 874-3511
Mailing address
1023 MEDICAL CENTER PKWY, SUITE 200, SELMA, AL 36701-6780
(334) 875-4184
(334) 874-3511
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529920870
—
AL
01
—
DB9926
RAILROAD MEDICARE
AL
Enumeration date
07/30/2006
Last updated
02/22/2021
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