Individual provider · NPI-1

Jeffrey D Anderson, MD

Emergency Medicine · Birmingham, AL

NPI number1528095007
StatusActive
Last updated in NPPESNov 9, 2023

Details

NPI
1528095007
Entity type
Individual (NPI-1)
Name
Jeffrey D Anderson
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 28, 2006
Certification date
Nov 9, 2023
Last updated
Nov 9, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine24640ALYes
207P00000X Emergency Medicine47165MN

Practice location

619 19th St S
Birmingham, AL 35233-1900

Phone 205-934-4011

Mailing address

1300 S Montgomery Ave
Sheffield, AL 35660-6367

Phone 256-366-4592 · Fax 256-386-4132

Other practice locations

1300 S Montgomery Ave
Sheffield, AL 35660-6367

Phone 256-386-4592 · Fax 256-386-4132

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