University of Alabama at Birmingham

NPI #1063576858 in Birmingham, Alabama

Provider Information

NPI Number: 1063576858
Entity Type: Organization
Organization Name: University of Alabama at Birmingham
Subpart: Yes (part of a larger organization)
Parent Organization: UNIVERSITY OF ALABAMA AT BIRMINGHAM
Primary Specialty: Family Medicine
Enumeration Date: Dec 19, 2006
Last Updated: Apr 20, 2008

Practice Location

Address: 930 20TH ST S
Address 2: SUITE 325
City: Birmingham
State: Alabama
ZIP Code: 35205-2610
Phone: (205) 934-9700

Authorized Official

Name: MRS. TYRA JOHNSON-PIRTLE, C.P.A
Title: ADMINISTRATOR
Phone: (205) 934-1598

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X	Primary

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