Individual
EMILY GANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233
(205) 996-7850
Mailing address
703 VOLKER HALL, BIRMINGHAM, AL 35294-0001
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
1804
AL
Other
Enumeration date
04/08/2013
Last updated
03/19/2019
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