Organization
ALABAMA INFECTIOUS DISEASE CENTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY DAWN WHISENANT NONE (OFFICE MANAGER)
(256) 265-7955
Entity
Organization
Contact information
Practice address
420 LOWELL DR, SUITE 301, HUNTSVILLE, AL 35801-3762
(256) 265-7955
(256) 265-7954
Mailing address
420 LOWELL DR, SUITE 301, HUNTSVILLE, AL 35801-3762
(256) 265-7955
(256) 265-7954
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
25943
AL
207RI0200X
Infectious Disease Physician
28544
AL
207RI0200X
Infectious Disease Physician
Primary
31607
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009970955
—
AL
05
—
1447446935
—
AL
05
—
150458
—
AL
Enumeration date
01/03/2007
Last updated
11/13/2013
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