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NPI 1043480742 - Public Health or Welfare - 251K00000X

NPI Details
NPI 1043480742
Enumeration Date 03/10/2008
Last Updated 03/10/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name JIM JIM
Position EXECUTIVE DIRECTOR
Phone (205) 510-2600
Fax
Practice Location
1401 20TH ST S
BIRMINGHAM AL, 35205-4913, US
Phone (205) 510-2600
Fax
Business Location
1401 20TH ST S
BIRMINGHAM AL, 35205-4913, US
Phone
Fax
Toxanomy
Taxonomy Code 251K00000X
License State
License Number
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According to our database, Gateway NPI is 1043480742, taxonomy code is 251K00000X Gateway physically located at 1401 20th St S, Birmingham AL, 35205-4913. NPI Number 1033115704 has the healthcare provider type.

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1043480742 NPI number is provided on an as is basis without warranty of any kind. 1043480742 is maintained by the National Plan & Provider Enumeration System. The contents of Gateway are for informational purposes only.