Individual
ERIC GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1130 12TH ST S, BIRMINGHAM, AL 35205
(256) 595-4837
Mailing address
1130 12TH ST S., BIRMINGHAM, AL 35205
(256) 595-4837
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-194151
AL
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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