Organization
BIRMINGHAM RADIOLOGICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY S SIMMA (BUSINESS MANAGER/CFO)
(205) 871-4274
Entity
Organization
Contact information
Practice address
2000A SOUTHBRIDGE PKWY, STE 300, BIRMINGHAM, AL 35209-7704
(205) 871-4274
(205) 871-4301
Mailing address
2000A SOUTHBRIDGE PKWY, STE 300, BIRMINGHAM, AL 35209-7704
(205) 871-4274
(205) 871-4301
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
05/15/2006
Last updated
12/28/2010
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