Organization
PRINCETON PULMONARY GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCHELLE CAGLE (MANAGER)
(205) 788-5533
Entity
Organization
Contact information
Practice address
817 PRINCETON AVE SW, STE 115, BIRMINGHAM, AL 35211-1333
(205) 780-1963
(205) 780-2345
Mailing address
817 PRINCETON AVE SW, STE 115, BIRMINGHAM, AL 35211-1333
(205) 780-1963
(205) 780-2345
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CL1358
RAILROAD MEDICARE GROUP #
AL
01
—
CM7930
RAILROAD MEDICARE GROUP #
AL
Enumeration date
08/26/2006
Last updated
11/21/2007
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