Individual
DR. DIANE R COUNCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 SOUTHLAKE PARK STE 200, SUITE 400B, BIRMINGHAM, AL 35244-5700
(205) 699-1632
(866) 546-2124
Mailing address
1000 SOUTHLAKE PARK STE 200, SUITE 400B, BIRMINGHAM, AL 35244-5700
(205) 699-1632
(866) 546-2124
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
21124
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417989740
—
AL
01
—
510G700045
MEDICARE GROUP PIN
AL
Enumeration date
07/07/2006
Last updated
06/20/2024
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