Individual
EMILY GRASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35233-1900
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 197-9701
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
87649
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018018691
MO LICENSE NUMBER
MO
05
—
PENDING
—
SC
Enumeration date
06/25/2018
Last updated
05/06/2024
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