Individual
MRS. CHERYL A CLABOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2720 UNIVERSITY BLVD, BIRMINGHAM, AL 35233-3408
(205) 989-1080
(205) 989-1087
Mailing address
2151 OLD ROCKY RIDGE RD, SUITE 106, BIRMINGHAM, AL 35216-7235
(205) 989-1080
(205) 989-1087
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1101428
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009912716
—
AL
01
—
194586799
TRICARE
AL
01
—
515-42275
BLUECROSS BLUESHIELD
AL
01
—
P00424062
MEDICARE RAILROAD
AL
Enumeration date
01/18/2006
Last updated
03/03/2014
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