Organization
MIDSOUTH A GENTIVA COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA LONG CHAPPELL (PHYSICAL THERAPIST)
(205) 945-4859
Entity
Organization
Contact information
Practice address
631 BEACON PKWY W, BIRMINGHAM, AL 35209-3124
(205) 945-4859
(205) 945-8605
Mailing address
631 BEACON PKWY W, BIRMINGHAM, AL 35209-3124
(205) 945-4859
(205) 945-8605
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PTH1397
AL
Other
Enumeration date
12/19/2006
Last updated
08/22/2020
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