Organization
HORMONE HEALTH AND WEIGHT LOSS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA BLACKALL (OFFICE COORDINATOR)
(205) 822-3211
Entity
Organization
Contact information
Practice address
700 CENTURY PARK S, SUITE 112, BIRMINGHAM, AL 35226-3943
(205) 822-3211
(205) 822-3321
Mailing address
700 CENTURY PARK S, SUITE 112, BIRMINGHAM, AL 35226-3943
(205) 822-3211
(205) 822-3321
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
AL
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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