Organization
MIBELLA GYNECOLOGY, LLC
Active
Other names
MIBELLA WELLNESS CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MIA T COWAN M.D. (PRESIDENT)
(205) 995-1009
Entity
Organization
Contact information
Practice address
2807 GREYSTONE COMMERCIAL BLVD, UNIT 38, BIRMINGHAM, AL 35242-9601
(205) 995-1009
(205) 995-1049
Mailing address
2807 GREYSTONE COMMERCIAL BLVD, UNIT 38, BIRMINGHAM, AL 35242-9601
(205) 995-1009
(205) 995-1049
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
27416
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831127083
—
AL
01
—
27416
LICENSE
AL
Enumeration date
08/16/2010
Last updated
09/29/2021
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