Organization · NPI-2

Aids Alabama INC

Family Medicine · Birmingham, AL

NPI number1154983443
StatusActive
Last updated in NPPESDec 2, 2022

Details

NPI
1154983443
Entity type
Organization (NPI-2)
Legal business name
Aids Alabama INC
Organization subpart
Yes
Enumeration date
Jul 8, 2019
Certification date
Dec 2, 2022
Last updated
Dec 2, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes
2084P0800X Psychiatry & Neurology, Psychiatry––
363LF0000X Nurse Practitioner, Family––

Other names

  • Living Well Health Clinic (Doing Business As)

Practice location

3522 7th Ave S
Birmingham, AL 35222-3211

Phone 205-324-9822 · Fax 205-324-9881

Mailing address

3521 7th Ave S
Birmingham, AL 35222-3210

Phone 205-324-9822 · Fax 205-324-9881

Authorized official

Michelle Hawthorne
Credentialing Coordinator
2053108051

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Birmingham, AL