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Individual

DR. GEORGE L JOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
50 MEDICAL PARK DR E, ST. VINCENT'S EAST, BIRMINGHAM, AL 35235-3401
(205) 545-9530
(205) 545-9529
Mailing address
2016 STONEGATE TRAIL, SUITE 112, VESTAVIA HILLS, AL 35242-2260
(205) 545-9530
(205) 545-9529

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
00008153
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0009977300
AL
01
351890800
DEPT OF LABOR
AL
05
529905830
AL
05
529910000
AL
01
604336100
DEPT OF LABOR
AL
01
631257475
TAX ID
AL
01
C141
BCBS
AL
01
C144
BCBS
AL
01
CH5239
RR MEDICARE
AL
01
CK8418
RR MEDICARE
AL
Enumeration date
12/02/2005
Last updated
06/27/2008
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