Organization
ALABAMA SELECT NETWORK, LLC
Active
Organization
ALABAMA SELECT NETWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD CHAFFIN (CHIEF EXECUTIVE OFFICER)
(205) 320-7575
Entity
Organization
Contact information
Practice address
3008 7TH AVE S, BIRMINGHAM, AL 35233-3503
(205) 320-7575
Mailing address
3008 7TH AVE S, BIRMINGHAM, AL 35233-3503
(205) 320-7575
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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