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Individual

NATALIE H. TIBBETTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
832 PRINCETON AVENUE SW, BIRMINGHAM, AL 35211-1323
(205) 206-8480
(205) 206-8365
Mailing address
PO BOX 12366, BIRMINGHAM, AL 35202-2366
(205) 780-7101
(205) 206-8338

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
27156
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009943007
AL
01
515-40866
BCBS OF AL
AL
Enumeration date
05/07/2007
Last updated
11/18/2009
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