Southern Medical Group, Inc

Organization Active NPI Emergency Medicine Physician · Birmingham, AL

NPI 1194736009 · NPPES record last updated Apr 20, 2008

Key facts

NPI
1194736009
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Medicine Physician 207P00000X
License
152834 (AL)
Legal business name
SOUTHERN MEDICAL GROUP, INC
Practice address
1200 Corporate Dr
Suite 230
Birmingham, AL 35242-2941
Phone
(205) 995-7980
Fax
(205) 995-7985
NPI assigned
Aug 10, 2006
Organization subpart
No

Authorized official

Name
Ms. Clarice D Kennedy
Title
Provider Enrollment Specialist
Phone
(205) 995-7980

Practitioners 175

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 175

National Provider Directory

Locations

651 Beacon Pkwy W
Ste 208
Birmingham, AL 35209

1801 1st Ave S
Ste 400
Birmingham, AL 35233

3500 Blue Lake Dr
Ste 480
Vestavia, AL 35243

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207P00000X 152834 AL Yes

Addresses

Primary practice location

1200 Corporate Dr
Suite 230
Birmingham, AL 35242-2941

Mailing address

1200 Corporate Dr
Suite 230
Birmingham, AL 35242-2941
Phone (205) 995-7980

Other providers in Birmingham, AL

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

Sources for this page

Verify at the official NPI Registry.