Individual
IMANI ISOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
609 TIMBERLINE WAY, BIRMINGHAM, AL 35215-8413
(706) 910-5035
Mailing address
609 TIMBERLINE WAY, BIRMINGHAM, AL 35215-8413
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
165475
AL
Other
Enumeration date
06/25/2026
Last updated
06/25/2026
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