Fagan LLC
NPI #1770740482 in Birmingham, Alabama
Provider Information
- NPI Number
- 1770740482
- Entity Type
- Organization
- Organization Name
- Fagan LLC
- Primary Specialty
- Specialist
- Enumeration Date
- May 20, 2008
- Last Updated
- Jan 6, 2011
Practice Location
- Address
- 3125 INDEPENDENCE DR
- Address 2
- SUITE 300A
- City
- Birmingham
- State
- Alabama
- ZIP Code
- 35209-4159
- Phone
- (205) 879-8206
Authorized Official
- Name
- DR. KIMBERLY M FAGAN, M.D.
- Title
- DOCTOR/OWNER
- Phone
- (205) 879-8206
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
| Durable Medical Equipment & Medical Supplies |
| Specialist |
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