Southern Medical Group, INC

NPI #1194736009 in Birmingham, Alabama

Provider Information

NPI Number
1194736009
Entity Type
Organization
Organization Name
Southern Medical Group, INC
Primary Specialty
Emergency Medicine
Enumeration Date
Aug 10, 2006
Last Updated
Apr 20, 2008

Practice Location

Address
1200 CORPORATE DR
Address 2
SUITE 230
State
Alabama
ZIP Code
35242-2941
Phone
(205) 995-7980

Authorized Official

Name
MS. CLARICE D KENNEDY
Title
PROVIDER ENROLLMENT SPECIALIST
Phone
(205) 995-7980

Specialties & Taxonomy Codes

Specialty
Emergency Medicine

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