Individual
EDISON GONCALVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3525 INDEPENDENCE DR, BIRMINGHAM, AL 35209-5709
(205) 971-2450
Mailing address
3525 INDEPENDENCE DR, BIRMINGHAM, AL 35209-5709
(205) 971-2450
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
17079
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529801810
—
AL
Enumeration date
05/04/2006
Last updated
09/22/2020
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