Organization
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Active
Organization
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Active
Parent organization
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Other names
Civitan-Sparks Clinics All-Kids
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Authorized official
LATAMIA WHITE-GREEN M.D. (DIRECTOR)
(205) 934-1055
Entity
Organization
Contact information
Practice address
930 20TH ST S, SUITE 101, BIRMINGHAM, AL 35205-2610
(205) 934-5471
(205) 975-2380
Mailing address
1530 3RD AVE S, CH19 307, BIRMINGHAM, AL 35294-2041
(205) 934-5471
(205) 975-2380
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2010
Last updated
07/14/2010
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