Individual
DR. UCHENNA GRACE IFEDIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1300 BESSEMER RD, BIRMINGHAM, AL 35208-4326
(205) 929-0565
(205) 929-0564
Mailing address
5037 CASTLE ROCK DR, SHOAL CREEK, AL 35242-6438
(205) 929-0565
(205) 929-0564
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19563
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051554813
—
AL
Enumeration date
02/09/2007
Last updated
10/04/2011
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