Individual
DERROL DAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 VALLEY AVE, BIRMINGHAM, AL 35209-3805
(205) 941-1414
(205) 941-1313
Mailing address
5232 CLAIRMONT AVE S, BIRMINGHAM, AL 35222-4040
(205) 595-4966
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0010039
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008403610
—
AL
01
—
2635171001
CIGNA
AL
01
—
51013242
BCBS OF AL
AL
01
—
C-76631
VIVA HEALTH
AL
Enumeration date
01/16/2007
Last updated
07/08/2007
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