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Individual

DR. TERESA G MAGRUDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 934-3795
Mailing address
703 VOLKER HL, BIRMINGHAM, AL 35294-0001
(205) 934-3795

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
00025712
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
112607
AL
Enumeration date
07/17/2006
Last updated
01/28/2011
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