Organization
GONZALEZ & CARR, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACY N JOHNSON (OFFICE MANAGER)
(205) 991-9787
Entity
Organization
Contact information
Practice address
101 HEATHERBROOKE PARK DR, BIRMINGHAM, AL 35242-8008
(205) 991-9787
Mailing address
101 HEATHERBROOKE PARK DR, BIRMINGHAM, AL 35242-8008
(205) 991-9787
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3923
AL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
3935
AL
Other
Enumeration date
10/30/2007
Last updated
10/31/2007
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