Organization
PREMIER MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY HAMMOND (ADMINISTRATOR)
(205) 545-9530
Entity
Organization
Contact information
Practice address
50 MEDICAL PARK EAST DR, BIRMINGHAM, AL 35235
(205) 545-9530
(205) 545-9530
Mailing address
2016 STONEGATE TRAIL, SUITE 112, VESTAVIA HILLS, AL 35244-2260
(205) 545-9530
(205) 545-9529
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
351890800
DEPT OF LABOR
AL
05
—
529905830
—
AL
05
—
529910000
—
AL
01
—
C141
BCBS
AL
01
—
CH5239
RAILROAD MEDICARE
AL
Enumeration date
12/02/2005
Last updated
05/27/2008
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