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1497900393
DIANA J TAVENER
BIRMINGHAM, AL
NPI
1497900393
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: AL PA-152)
Enumeration Date
2008-11-20
Last Update Date
2015-10-20
Business Address
Miss DIANA J TAVENER P.A.
805 SAINT VINCENTS DR SUITE 100
BIRMINGHAM, AL 35205-1636
Phone number: 205-939-3699
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Mailing Address
Miss DIANA J TAVENER P.A.
4600 HIGHWAY 280, STE 200
BIRMINGHAM, AL 35242
Phone number: 205-971-5000
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