| NPI | 1689629479 |
|---|---|
| Doing Business As | BELTONE OF BIRMINGHAM |
| Entity Type | Organization |
| Authorized Contact | CLARENCE RAYMOND BERKSHIRE President 205-956-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: AL 4097) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-08-22 |