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Individual

HENRY MICHAEL BORN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3871 US HIGHWAY 278 E, HOKES BLUFF, AL 35903-7507
(256) 492-0544
(256) 492-0558
Mailing address
3871 US HIGHWAY 278 E, HOKES BLUFF, AL 35903-7507
(256) 492-0544
(256) 492-0558

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10586
AL
207QA0401X
Addiction Medicine (Family Medicine) Physician
10586
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009953560
AL
01
51503789
BCBS OF AL
AL
Enumeration date
10/11/2006
Last updated
09/27/2010
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