Individual
DR. BORIS DATNOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BORIS DATNOW
Contact information
Practice address
2021 BRAE TRL, BIRMINGHAM, AL 35242-7134
(205) 408-0363
(205) 408-0363
Mailing address
2021 BRAE TRL, BIRMINGHAM, AL 35242-7134
(205) 408-0363
(205) 408-0363
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6110
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6110
ALABAMA LISENSE NUMBER
AL
Enumeration date
08/12/2008
Last updated
03/07/2023
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