| NPI | 1063576858 |
|---|---|
| Doing Business As | UAB DEPARTMENT OF FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | TYRA JOHNSON-PIRTLE Administrator 205-934-1598 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2008-04-20 |