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
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- AIDS Alabama Inc
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Psychiatry Physician |
2084P0800X | |||
| Family Nurse Practitioner |
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
Other providers in Birmingham, AL
- Subhan Ahmed
- Zoubair Ahmed
- John Chaeho Ahn
- Alice Ahuero
- Kamal Ahuja
- AIDS Alabama, Inc.
- Chelsey B Aiken
- John Aiken
- Patricia Aiken
- Timothy Wayne Aiken
All providers in Birmingham, AL · Family Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.