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Organization

EXCEL INTERNAL MEDICINE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HANSY ODI (OFFICE ADMINISTRATOR)
(205) 802-6773
Entity
Organization

Contact information

Practice address
513 BROOKWOOD BLVD, SUITE 502, BIRMINGHAM, AL 35209-6862
(205) 802-6773
(205) 871-9647
Mailing address
513 BROOKWOOD BLVD, SUITE 502, BIRMINGHAM, AL 35209-6862
(205) 802-6773
(205) 871-9647

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00024167
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51518288
BCBS OF ALABAMA
AL
01
P00086293
RAILROAD MEDICARE
AL
Enumeration date
05/25/2006
Last updated
08/22/2020
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