MIBELLA GYNECOLOGY LLC NPI 1720393606

NPI Information

MIBELLA GYNECOLOGY, LLC is a gynecology obstetrics gynecology in Birmingham, AL. MIBELLA GYNECOLOGY, LLC NPI is 1720393606. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mibella Wellness Center.

The provider's business location address is:

2807 GREYSTONE COMMERCIAL BLVD
UNIT 38
BIRMINGHAM, AL
ZIP 35242-601
Phone: (205) 995-1009
Fax: (205) 995-1049

The provider's authorized official is Mia T Cowan .
The authorized official title is President and has the following contact phone number (205) 995-1009.

The CLIA number assigned to this NPI record is 01D2014300 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/16/2010 and was last updated on 9/29/2021.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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