Organization
VIA-WOMENS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN WALTER (MD)
(205) 824-8000
Entity
Organization
Contact information
Practice address
2204 LAKESHORE DR STE 140, BIRMINGHAM, AL 35209-6741
(205) 934-0622
Mailing address
2204 LAKESHORE DR STE 140, BIRMINGHAM, AL 35209-6741
(205) 934-0622
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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