Southern Medical Group INC

NPI #1336359983 in Alabaster, Alabama

Provider Information

NPI Number: 1336359983
Entity Type: Organization
Organization Name: Southern Medical Group INC
Primary Specialty: Emergency Medicine
Enumeration Date: May 23, 2007
Last Updated: Jun 21, 2018

Practice Location

Address: 1000 1ST ST N
City: Alabaster
State: Alabama
ZIP Code: 35007-8703
Phone: (205) 620-8133

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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