Individual
MR. GREGORY T PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
908 20TH ST S, BIRMINGHAM, AL 35205-2610
(205) 585-0873
Mailing address
908 20TH ST S, BIRMINGHAM, AL 35205-2610
(205) 934-4108
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
1-096008
AL
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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