Organization
NUTRIFOCUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUZANNE ELEAZER PIRKLE MA,RD,LD,CEDRD (OWNER)
(205) 317-4111
Entity
Organization
Contact information
Practice address
4126 AUTUMN LN, VESTAVIA, AL 35243-5209
(205) 317-4111
Mailing address
111 OGLESBY AVE, BIRMINGHAM, AL 35209-6227
(205) 317-4111
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511-28637
BCBS-AL
AL
Enumeration date
01/30/2020
Last updated
01/30/2020
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