Organization
ALEGIS CARE - ALABAMA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE BLUE (CREDENTIALING SR. MANAGER)
(773) 292-4800
Entity
Organization
Contact information
Practice address
2700 CORPORATE DR STE 200, BIRMINGHAM, AL 35242-2733
(773) 292-4800
(312) 564-4059
Mailing address
730 COOL SPRINGS BLVD STE 500, FRANKLIN, TN 37067-7331
(773) 292-4800
(312) 564-4059
Taxonomy
Speciality
Code
Description
License number
State
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
07/06/2021
Last updated
07/16/2024
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