Mary Fondren
NPI #1740730167 in Birmingham, Alabama
Provider Information
- NPI Number
- 1740730167
- Entity Type
- Individual
- Name
- Mary Fondren
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Enumeration Date
- Oct 10, 2016
- Last Updated
- Oct 10, 2016
Practice Location
- Address
- 3105 INDEPENDENCE DR
- Address 2
- SUITE 105
- City
- Birmingham
- State
- Alabama
- ZIP Code
- 35209-4111
- Phone
- (205) 803-2210
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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