Healthcare Provider Details

I. General information

NPI: 1831693563
Provider Name (Legal Business Name): ELIZABETH ERNSTBERGER HILTZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIZABETH GWEN ERNSTBERGER MD

II. Dates (important events)

Enumeration Date: 03/19/2018
Last Update Date: 11/14/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 7TH AVE S # 420
BIRMINGHAM AL
35233-1711
US

IV. Provider business mailing address

1600 7TH AVE S STE 420
BIRMINGHAM AL
35233-1711
US

V. Phone/Fax

Practice location:
  • Phone: 205-638-9235
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number46392
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: