Organization
ALABAMA GAME CHANGERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA P FLETCHER (EXECUTIVE DIRECTOR)
(205) 914-8733
Entity
Organization
Contact information
Practice address
2111 PARKWAY OFFICE CIR STE 150, HOOVER, AL 35244-2920
(205) 914-8733
Mailing address
2111 PARKWAY OFFICE CIR STE 150, HOOVER, AL 35244-2920
(205) 914-8733
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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