Organization
THE BETHESDA LIFE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETTINA BYRD-GILES (COO)
(205) 788-2200
Entity
Organization
Contact information
Practice address
321 19TH STREET ENSLEY, BIRMINGHAM, AL 35218-1642
(205) 788-2200
(205) 788-2201
Mailing address
PO BOX 8348, BIRMINGHAM, AL 35218-0348
(205) 788-2200
(205) 788-2201
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
1020764
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110037
—
AL
Enumeration date
04/08/2007
Last updated
11/19/2013
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