Individual
MRS. MELISSA BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
805 SAINT VINCENTS DR, BIRMINGHAM, AL 35205-1636
(205) 769-3770
Mailing address
PO BOX 43055, BIRMINGHAM, AL 35243-0055
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
AL
Other
Enumeration date
05/13/2011
Last updated
10/27/2014
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