SHELBY BAPTIST SPORTS MEDICINE AND FAMILY MEDICINE NPI 1871536946

NPI Information

SHELBY BAPTIST SPORTS MEDICINE AND FAMILY MEDICINE is a specialist in Alabaster, AL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SHELBY BAPTIST SPORTS MEDICINE AND FAMILY MEDICINE NPI is 1871536946. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

831 1ST ST N
ALABASTER, AL
ZIP 35007-944
Phone: (205) 358-9120
Fax: (205) 358-9121

The provider's authorized official is G. Scott Fenn .
The authorized official title is Chief Integration Officier and has the following contact phone number (205) 715-5415.

The CLIA number assigned to this NPI record is 01D0026356 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/14/2006 and was last updated on 5/13/2010.

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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