Organization
MEDICINE BEYOND WALLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONOWSKY DEMEL COLEMAN M.D. (OWNER)
(205) 296-6464
Entity
Organization
Contact information
Practice address
6291 LETSON FARMS DR, BESSEMER, AL 35022-7025
(205) 296-6464
(205) 477-1515
Mailing address
6291 LETSON FARMS DR, BESSEMER, AL 35022-7025
(205) 296-6464
(205) 477-1515
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
24899
AL
Other
Enumeration date
08/05/2006
Last updated
09/07/2007
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