Organization
DYSAUTONOMIA MVP CENTER, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLEE F SMITH CBCS (OFFICE MANAGER)
(205) 467-4969
Entity
Organization
Contact information
Practice address
2470 ROCKY RIDGE RD, SUITE 200, VESTAVIA, AL 35243-2833
(205) 529-5658
Mailing address
2470 ROCKY RIDGE RD, SUITE 200, VESTAVIA, AL 35243-2833
(205) 467-4969
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
9924
AL
207R00000X
Internal Medicine Physician
Primary
14740
AL
Other
Enumeration date
02/21/2015
Last updated
02/21/2015
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