Organization
AIDS ALABAMA INC
Active
Parent organization
AIDS ALABAMA INC
Other names
Living Well Health Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
AIDS ALABAMA INC
Authorized official
MICHELLE HAWTHORNE MS (CREDENTIALING COORDINATOR)
(205) 310-8051
Entity
Organization
Contact information
Practice address
3522 7TH AVE S, BIRMINGHAM, AL 35222-3211
(205) 324-9822
(205) 324-9881
Mailing address
3521 7TH AVE S, BIRMINGHAM, AL 35222-3210
(205) 324-9822
(205) 324-9881
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/08/2019
Last updated
12/02/2022
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