Organization
BIRMINGHAM SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
2621 19TH ST S, BIRMINGHAM, AL 35209-1913
(205) 271-8200
(205) 271-8332
Mailing address
2621 19TH ST S, BIRMINGHAM, AL 35209-1913
(205) 271-8200
(205) 271-8332
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
09986
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000029229
—
AL
05
—
ASC0079C
—
AL
Enumeration date
02/01/2006
Last updated
02/12/2023
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