Organization
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Active
Parent organization
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Other names
Russell Wound Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Authorized official
MRS. MARY BETH BRISCOE (CHIEF FINANCIAL OFFICER)
(205) 975-5413
Entity
Organization
Contact information
Practice address
UAB RUSSELL CLINIC, 1813 6TH AVE N, SUITE M120, BIRMINGHAM, AL 35249-0001
(205) 996-9260
Mailing address
PO BOX 11407, DRAWER 624, BIRMINGHAM, AL 35246-0001
(205) 437-6098
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
06/18/2012
Last updated
03/11/2013
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