Organization
BROOKWOOD PSYCHIATRIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART C TIESZEN M.D. (DOCTOR)
(205) 329-7805
Entity
Organization
Contact information
Practice address
2018 BROOKWOOD MEDICAL CTR DR, POB SUITE 311, BIRMINGHAM, AL 35209-6898
(205) 329-7805
(205) 329-7806
Mailing address
2018 BROOKWOOD MEDICAL CTR DR, POB SUITE 311, BIRMINGHAM, AL 35209-6898
(205) 329-7805
(205) 329-7806
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0012918
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1168112100
US DEPTPARTMENT OF LABOR
AL
01
—
C75916
UPIN
AL
Enumeration date
03/13/2008
Last updated
03/13/2008
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