Organization Name: | MEDPLEXMD INJURY |
NPI Number: | 1386995405 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROY SAVOIE (OWNER) |
Mailing Address: | 2124 4th Ave S Birmingham |
State: | AL US |
Postal Code: | 352332204 |
Phone Number: | 2057319090 |
Fax Number: | 2057310760 |
NPI Enumeration Date: | 09/28/2012 |
NPI Last Update Date: | 09/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 29863 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |