Individual
EDGAR S UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-4011
Mailing address
PO BOX 55309, BIRMINGHAM, AL 35255-5309
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
00008292
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009938902
—
AL
01
—
051536231
BLUE CROSS
AL
01
—
051536232
BLUE CROSS
AL
01
—
051536233
BLUE CROSS
AL
05
—
06479807
—
MS
Enumeration date
06/15/2005
Last updated
12/23/2011
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