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Organization

ORTHOPAEDIC SPECIALISTS OF ALABAMA, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER FREED (CREDENTIALING)
(423) 702-7536
Entity
Organization

Contact information

Practice address
833 ST. VINCENT'S DR., STE. 403, BIRMINGHAM, AL 35205-1614
(205) 939-0047
(205) 939-0418
Mailing address
4295 CROMWELL RD, STE. 308, CHATTANOOGA, TN 37421-2163
(423) 702-7536
(423) 877-5855

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
528201850
AL
Enumeration date
10/21/2010
Last updated
12/10/2010
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