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Organization

STV CARDIOLOGY CLINIC LLC

Active
Parent organization
VINCENTIAN VENTURES OF NORTH ALABAMA
Organization subpart
Yes

Provider details

NPI number
Legal business name
VINCENTIAN VENTURES OF NORTH ALABAMA
Authorized official
BRANDON WILLIAMS (CFO)
(205) 838-3766
Entity
Organization

Contact information

Practice address
46 MEDICAL PARK EAST DRIVE, BUILDING 46, SUITE 460, BIRMINGHAM, AL 35235-3401
(205) 930-2903
(205) 930-2158
Mailing address
50 MEDICAL PARK EAST DRIVE, BIRMINGHAM, AL 35235-3401
(205) 930-2903
(205) 930-2158

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207RC0000X
Cardiovascular Disease Physician
207RI0011X
Interventional Cardiology Physician
Primary

Other

Enumeration date
12/04/2015
Last updated
09/07/2017
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