Individual
MS. BONNIE ELIZABETH MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 CORPORATE DR STE 200, BIRMINGHAM, AL 35242-2733
(205) 905-7874
(205) 314-4701
Mailing address
2700 CORPORATE DR STE 200, BIRMINGHAM, AL 35242-2733
(205) 905-7874
(205) 314-4701
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
00181871
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659026326
342000000X
AL
Enumeration date
02/21/2022
Last updated
02/21/2022
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