Organization
ALABAMA DIGESTIVE HEALTH AND ENDOSCOPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA SHEA (ADMINISTRATOR)
(205) 877-1114
Entity
Organization
Contact information
Practice address
2018 BROOKWOOD MEDICAL CTR DR, BIRMINGHAM, AL 35209-6898
(205) 877-1187
Mailing address
2018 BROOKWOOD MEDICAL CTR DR, BIRMINGHAM, AL 35209-6898
(205) 877-1187
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011072
BLUE CROSS BLUE SHIELD
AL
Enumeration date
01/15/2021
Last updated
01/15/2021
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