Organization Name: | AFFINITY PHYSICIAN SERVICES LLC |
NPI Number: | 1366485617 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBBIE BREWER (VP) |
Mailing Address: | 860 Montclair Rd Ste 625 Birmingham |
State: | AL US |
Postal Code: | 352131923 |
Phone Number: | 2055993477 |
Fax Number: | |
NPI Enumeration Date: | 06/14/2006 |
NPI Last Update Date: | 08/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |