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Individual

JOHN TALYOR ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
504 BROOKWOOD BLVD, HOMEWOOD, AL 35209-6802
(205) 871-9661
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
28496
AL
207RP1001X
Pulmonary Disease Physician
28496
AL
208000000X
Pediatrics Physician
28496
AL
390200000X
Student in an Organized Health Care Education/Training Program
28496
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00752754
MS
01
051116644
BCBS
AL
01
051116645
BCBS
AL
01
051116646
BCBS
AL
05
128675
AL
05
128676
AL
05
128677
AL
Enumeration date
05/03/2007
Last updated
03/11/2016
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