| Doctor Name: | GINA MARIE NELSON |
| NPI Number: | 1548473630 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 48510 |
| Business Practice Address: | 1680 Montgomery Hwy Birmingham, AL - 352164906 |
| Business Phone Number: | 2059790888 |
| Business Fax Number: | 2059794110 |
| Mailing Address: | 2147 Riverchase Office Rd, BIRMINGHAM |
| State: | AL |
| Postal Code: | 352441836 |
| Phone Number: | 2054038902 |
| Fax Number: | 2059820278 |
| NPI Enumeration Date: | 05/07/2007 |
| NPI Last Update Date: | 06/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 48510 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |