Registry details
Type
Individual
Primary specialty
Internal Medicine, Hematology & Oncology
Enumerated
Jun 29, 2010
License(s)
4301096646 (MI), 077696 (GA), 44443 (AL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 619 19TH ST S | Birmingham, AL 35233-1900 | 205-934-4011 |
| MAILING | PO BOX 55310 | Birmingham, AL 35255-5310 | 205-370-1774 |
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