Doctor Name: | JAMES CILIMBERG |
NPI Number: | 1255738605 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.A. |
License Number: | TA-1781 |
Business Practice Address: | 2871 Acton Rd Suite 100 Vestavia, AL - 352432559 |
Business Phone Number: | 2057166900 |
Business Fax Number: | |
Mailing Address: | 2871 Acton Rd, Suite 100 VESTAVIA |
State: | AL |
Postal Code: | 352432559 |
Phone Number: | 2057166900 |
Fax Number: | |
NPI Enumeration Date: | 12/01/2014 |
NPI Last Update Date: | 12/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | TA-1781 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |