BIRMINGHAM AIDS OUTREACH NPI 1336507953

NPI Information

BIRMINGHAM AIDS OUTREACH is a primary care clinic center in Birmingham, AL. BIRMINGHAM AIDS OUTREACH NPI is 1336507953. The provider is registered as an organization entity type.
The provider Is Doing Business As Magic City Wellness Center.

The provider's business location address is:

3220 5TH AVE S STE 100
BIRMINGHAM, AL
ZIP 35222-309
Phone: (205) 877-8677
Fax: (205) 877-8675

The provider's authorized official is Will Rainer .
The authorized official title is Director and has the following contact phone number (205) 877-8677.

The CLIA number assigned to this NPI record is 01D1039560 - other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/10/2016 and was last updated on 9/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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