| University Of Alabama At Birmingham | |
|
1023 Medical Center Pkwy Suite 200 Selma AL 36701-6780 | |
| (334) 875-4184 | |
| (334) 874-3511 |
| Full Name | University Of Alabama At Birmingham |
|---|---|
| Speciality | Family Medicine |
| Location | 1023 Medical Center Pkwy, Selma, Alabama |
| Authorized Official Name and Position | Jeff Denney (ADMINISTRATOR/DIRECTOR) |
| Authorized Official Contact | 3348754184 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Alabama At Birmingham 1023 Medical Center Pkwy Suite 200 Selma AL 36701-6780 Ph: (334) 875-4184 | University Of Alabama At Birmingham 1023 Medical Center Pkwy Suite 200 Selma AL 36701-6780 Ph: (334) 875-4184 |
| NPI Number | 1144235870 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 02/22/2021 |
| Certification Date | 02/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144235870 | NPI | - | NPPES |
| 529920870 | Medicaid | AL | |
| DB9926 | Other | AL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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