Organization
SOUTHERN BELLE GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BROCK (CEO)
(205) 253-2734
Entity
Organization
Contact information
Practice address
25 W OXMOOR RD, BIRMINGHAM, AL 35209-6446
(205) 253-2734
Mailing address
25 W OXMOOR RD, BIRMINGHAM, AL 35209-6446
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
12706
AL
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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