Individual
BRENT A MCLARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13521 OLD HIGHWAY 280, SUITE 201, BIRMINGHAM, AL 35242-1405
(205) 408-4349
(205) 408-4225
Mailing address
13521 OLD HIGHWAY 280, SUITE 201, BIRMINGHAM, AL 35242-1405
(205) 408-4349
(205) 408-4225
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19379
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009912887
—
AL
Enumeration date
05/09/2006
Last updated
05/07/2009
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