Organization
ASSOCIATED MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LELAND N ALLEN III M.D. (PRESIDENT)
(205) 871-0050
Entity
Organization
Contact information
Practice address
636 2ND ST NE, SUITE B, ALABASTER, AL 35007
(205) 664-4377
(205) 664-3694
Mailing address
PO BOX 130070, BIRMINGHAM, AL 35213-0070
(205) 871-0050
(205) 871-0050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
18247
AL
207RI0200X
Infectious Disease Physician
Primary
18247
AL
208M00000X
Hospitalist Physician
18247
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51004116
BLUE CROSS BLUE SHIELD
AL
Enumeration date
07/27/2006
Last updated
09/09/2007
Update your record
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