Organization
NORTHPORT INTERNAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAM H BROWNE (OFFICE MANAGER)
(205) 339-8282
Entity
Organization
Contact information
Practice address
952 ROSE DR, NORTHPORT, AL 35476-3363
(205) 339-8282
(208) 339-0936
Mailing address
952 ROSE DR, NORTHPORT, AL 35476-3363
(205) 339-8282
(208) 339-0936
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12788
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010021562
MEDICARE TRAVELERS
AL
01
—
0410625
UNITED HEALTHCARE
AL
05
—
528801430
—
AL
01
—
H018
MEDICARE IDENTIFIER
AL
Enumeration date
01/10/2007
Last updated
04/16/2010
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