Organization
BAPTIST HEALTH CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN JACKSON (CREDENTIALING MANAGER)
(205) 715-5943
Entity
Organization
Contact information
Practice address
320 COOSA ST E, TALLADEGA, AL 35160-2276
(256) 362-3636
(256) 362-0002
Mailing address
1130 22ND ST S STE 1000, BIRMINGHAM, AL 35205-2881
(205) 715-5943
(205) 715-5932
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529402960
—
AL
05
—
541003848
—
AL
Enumeration date
04/14/2006
Last updated
01/08/2018
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