NPI | 1558303842 |
---|---|
Former Legal Business Name | GARDENDALE INTERNAL MEDICINE |
Entity Type | Organization |
Authorized Contact | NOLAN LEONARD HUDSON Managing Member 205-418-1221 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 17189) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 6626) |
207R00000X Internal Medicine (Licence: AL 21240) | |
207R00000X Internal Medicine (Licence: AL 7130) | |
207R00000X Internal Medicine (Licence: AL 12987) | |
225100000X Physical Therapist (Licence: AL PTH3430) | |
225100000X Physical Therapist (Licence: AL PTH4168) | |
Enumeration Date | 2006-06-12 |
Last Update Date | 2025-09-11 |