Individual
GERALD LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1725 PINE ST, MONTGOMERY, AL 36106-1109
(334) 293-8067
(334) 293-8105
Mailing address
6133 HENLEY HEDGE CT, MONTGOMERY, AL 36117-2622
(334) 270-0316
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00020811
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009934548
—
AL
01
—
51531860
BCBS
AL
01
—
P00297025
RAIL ROAD MEDICARE
AL
Enumeration date
04/07/2006
Last updated
01/25/2011
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