Individual
MR. MICHAEL A BOZEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ALC
Contact information
Practice address
2681 ROCKY RIDGE LN, BIRMINGHAM, AL 35216-4809
(205) 945-0031
Mailing address
PO BOX 362084, BIRMINGHAM, AL 35236-2084
(205) 945-0031
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C2770A
AL
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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