Organization
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Active
Parent organization
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Authorized official
MR. REID JONES (COO/UAB HEALTH SYSTEM)
(205) 731-9701
Entity
Organization
Contact information
Practice address
619 19TH ST S # JT845, BIRMINGHAM, AL 35249-6922
(205) 934-7072
Mailing address
619 19TH ST S, BIRMINGHAM, AL 35249-6922
(205) 934-7072
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120608
—
AL
Enumeration date
09/09/2009
Last updated
04/13/2018
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