Organization · NPI-2

4md2 Physician Services Of Birmingham, LLC

Emergency Medicine · Birmingham, AL

NPI number1871790683
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1871790683
Entity type
Organization (NPI-2)
Legal business name
4md2 Physician Services Of Birmingham, LLC
Organization subpart
No
Enumeration date
Jun 27, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine––Yes

Practice location

Cooper Green Hospital Emergency Room
1515 6th Ave
Birmingham, AL 35233

Phone 205-995-0422 · Fax 205-995-6317

Mailing address

1028 Highland Lakes Trace
Birmingham, AL 35242

Phone 205-999-6209 · Fax 205-995-6317

Authorized official

Guy Duwane Hooper
President
2059996209

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