AIDS Alabama Inc

Organization Active NPI Family Medicine Physician · Birmingham, AL

NPI 1154983443 · NPPES record last updated Dec 2, 2022

Key facts

NPI
1154983443
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
AIDS ALABAMA INC
Practice address
3522 7TH Ave S
Birmingham, AL 35222-3211
Phone
(205) 324-9822
Fax
(205) 324-9881
NPI assigned
Jul 8, 2019
Organization subpart
Yes
Parent organization (as reported)
AIDS ALABAMA INC

Authorized official

Name
Michelle Hawthorne, MS
Title
Credentialing Coordinator
Phone
(205) 310-8051

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
AIDS Alabama Inc (2 organizations share this tax ID)
Part of
AIDS Alabama Inc

Locations

3521 7th Ave S
Birmingham, AL 35222
Phone (205) 918-8195

3522 7th Ave S
Birmingham, AL 35222
Phone (205) 324-9822

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X Yes
Psychiatry Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2084P0800X
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LF0000X

Addresses

Primary practice location

3522 7TH Ave S
Birmingham, AL 35222-3211

Mailing address

3521 7TH Ave S
Birmingham, AL 35222-3210
Phone (205) 324-9822

Other names

  • Living Well Health Clinic Doing business as

Other providers in Birmingham, AL

All providers in Birmingham, AL · Family Medicine Physician in Alabama

Sources for this page

Verify at the official NPI Registry.