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Individual

MICHAEL LEE CLOYD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
ONE WEST LAKESHORE DRIVE, SUITE 301, BIRMINGHAM, AL 35209
(205) 930-2910
(205) 930-2913
Mailing address
P.O. BOX 2153 DEPT. 3266, BIRMINGHAM, AL 35287-3266
(205) 930-2462
(205) 930-2605

Taxonomy

Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
10747
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10747
STATE LICENSE NUMBER
AL
01
515-00293
BLUE CROSS BLUE SHIELD
AL
Enumeration date
10/05/2006
Last updated
07/08/2007
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