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Organization

BROOKWOOD INTERNAL MEDICINE, P.C.

Active
Parent organization
BROOKWOOD INTERNAL MEDICINE, P.C.
Other names
Harpersville Medical Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
BROOKWOOD INTERNAL MEDICINE, P.C.
Authorized official
MS. CATHERINE C CROW II (ADMINISTRATOR)
(205) 871-7746
Entity
Organization

Contact information

Practice address
2017 CANYON ROAD, SUITE # 39, BIRMINGHAM, AL 35216-1928
(205) 871-7746
(205) 871-9234
Mailing address
2017 CANYON ROAD, SUITE # 39, BIRMINGHAM, AL 35216-1928
(205) 871-7746
(205) 871-9234

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000095978
AL
05
000095980
AL
05
009941415
AL
05
009944205
AL
01
1356338842
NPI CHARLES CROW
AL
01
ACSC7326
CHARLES B. CROW III, M.D.
AL
Enumeration date
05/22/2006
Last updated
06/02/2010
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