Individual
MISS DIANA J TAVENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
805 SAINT VINCENTS DR, SUITE 100, BIRMINGHAM, AL 35205-1636
(205) 939-3699
(205) 939-0989
Mailing address
4600 HIGHWAY 280, STE 200, BIRMINGHAM, AL 35242
(205) 971-5000
(205) 971-5050
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA-152
AL
Other
Enumeration date
11/20/2008
Last updated
10/20/2015
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