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Individual

DR. TRACEY R HUMBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1515 6TH AVE S, BIRMINGHAM, AL 35233-1601
(205) 918-2330
(205) 251-7698
Mailing address
PO BOX 55845, BIRMINGHAM, AL 35255-5845
(205) 279-2860
(205) 252-0197

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27507
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009938003
AL
05
009938004
AL
05
009938006
AL
05
009938007
AL
05
009938008
AL
Enumeration date
05/15/2006
Last updated
01/05/2011
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