Organization
INTERNAL MEDICINE AFFILIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA MATHEWS FORD (OWNER)
(205) 786-1025
Entity
Organization
Contact information
Practice address
516 TUSCALOOSA AVE SW, BIRMINGHAM, AL 35211-1631
(205) 786-1025
(205) 780-0670
Mailing address
516 TUSCALOOSA AVE SW, BIRMINGHAM, AL 35211-1631
(205) 786-1025
(205) 780-0670
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529920170
—
AL
Enumeration date
03/10/2008
Last updated
03/10/2008
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