Southern Medical Group, Inc

NPI 1194736009 - Emergency Medicine - 207P00000X

NPI Details
NPI 1194736009
Enumeration Date 08/10/2006
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CLARICE D CLARICE
Position PROVIDER ENROLLMENT SPECIALIST
Phone (205) 995-7980
Fax (205) 995-7985
Practice Location
1200 CORPORATE DR
SUITE 230
BIRMINGHAM AL, 35242-2941, US
Phone (205) 995-7980
Fax (205) 995-7985
Business Location
1200 CORPORATE DR
SUITE 230
BIRMINGHAM AL, 35242-2941, US
Phone (205) 995-7980
Fax (205) 995-7985
Toxanomy
Taxonomy Code 207P00000X
License State Alabama
License Number 152834
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According to our database, Southern Medical Group, Inc NPI is 1194736009, taxonomy code is 207P00000X and license number is 152834, license state is located at Alabama. Southern Medical Group, Inc physically located at 1200 Corporate Dr, Birmingham AL, 35242-2941. NPI Number 1033115704 has the healthcare provider type.

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1194736009 NPI number is provided on an as is basis without warranty of any kind. 1194736009 is maintained by the National Plan & Provider Enumeration System. The contents of Southern Medical Group, Inc are for informational purposes only.