| Bhc-dekalb | |
|
200 Beacon Pkwy W Suite 330 Birmingham AL 35209-3102 | |
| (205) 715-5910 | |
| (205) 715-5928 |
| Full Name | Bhc-dekalb |
|---|---|
| Speciality | Family Medicine |
| Location | 200 Beacon Pkwy W, Birmingham, Alabama |
| Authorized Official Name and Position | Charles a Faulkner (PRESIDENT) |
| Authorized Official Contact | 2057155901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhc-dekalb 415 Medical Center Dr Sw Fort Payne AL 35968-3421 Ph: (256) 997-2820 | Bhc-dekalb 200 Beacon Pkwy W Suite 330 Birmingham AL 35209-3102 Ph: (205) 715-5910 |
| NPI Number | 1245361120 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 10/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245361120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207R00000X | Internal Medicine | () | Secondary |
| 208000000X | Pediatrics | () | Secondary |
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