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Organization

STATE OF ALABAMA DEPARTMENT OF FINANCE

Active
Other names
BRYCE HOSPITAL DENTAL CLINIC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RONNIE GRIFFIN (ACCOUNTANT/BILLING SUPERVISOR)
(205) 759-0315
Entity
Organization

Contact information

Practice address
200 UNIVERSITY BLVD, TUSCALOOSA, AL 35401-1250
(205) 759-0799
(205) 759-0845
Mailing address
200 UNIVERSITY BLVD, TUSCALOOSA, AL 35401-1250
(205) 759-0799
(205) 759-0845

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
559200040
AL
Enumeration date
05/16/2008
Last updated
05/16/2008
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