Individual
GIA S RANDALL WOOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
810 SAINT VINCENTS DR # 720, BIRMINGHAM, AL 35205-1601
(205) 930-2456
Mailing address
810 ST VINCENTS DR, POB 1 SUITE #720, BIRMINGHAM, AL 35205
(205) 930-2456
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
006451
GA
363A00000X
Physician Assistant
MA052202
PA
363AM0700X
Medical Physician Assistant
Primary
.821
AL
Other
Enumeration date
12/17/2007
Last updated
01/29/2018
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