Individual
BARBARA R BIRMINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 515-5665
(901) 448-2602
Mailing address
P O BOX 55310, BIRMINGHAM, AL 35255-5310
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1041505
AL
363L00000X
Nurse Practitioner
Primary
13745
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051505856
BCBS OF AL
AL
05
—
051505856
—
AL
01
—
500022357
RR MEDICARE
AL
Enumeration date
08/14/2006
Last updated
01/20/2016
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