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Individual

CHRISTINA BAILEY FETTIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3401 INDEPENDENCE DR, BIRMINGHAM, AL 35249-1900
(205) 870-1273
(205) 870-1276
Mailing address
3401 INDEPENDENCE DR, BIRMINGHAM, AL 35249-1900
(205) 870-1273
(205) 870-1276

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31445
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
150926
AL
01
511-36794
BLUE CROSS BLUE SHIELD
AL
Enumeration date
05/11/2010
Last updated
03/30/2017
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