Individual
ALLISON BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 939-6980
(205) 939-9977
Mailing address
703 VOLKER HALL, BIRMINGHAM, AL 35294-0001
(205) 934-3795
(205) 975-2499
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
27040
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-40378
BC BS OF ALABAMA
AL
Enumeration date
04/10/2007
Last updated
07/08/2007
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