Organization
BIRMINGHAM HEART CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAM WYNN (OFFICE MANAGER)
(205) 815-4810
Entity
Organization
Contact information
Practice address
100 PILOT MEDICAL DRIVE, SUITE 300, BIRMINGHAM, AL 35235-3412
(205) 856-2284
(205) 815-4777
Mailing address
100 PILOT MEDICAL DRIVE, SUITE 300, BIRMINGHAM, AL 35235-3412
(205) 856-2284
(205) 815-4777
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00006973
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529602240
—
AL
01
—
CC5229
RRMC
AL
Enumeration date
11/28/2006
Last updated
09/10/2024
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