Southern Medical Group INC

NPI #1518177161 in Birmingham, Alabama

Provider Information

NPI Number
1518177161
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
701 PRINCETON AVE SW
State
Alabama
ZIP Code
35211-1303
Phone
(205) 783-3500

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Emergency Medicine

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