Healthcare Provider Details

I. General information

NPI: 1275648412
Provider Name (Legal Business Name): CHRISTIAN M DEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 MEDICAL PARK DR E SUITE 355
BIRMINGHAM AL
35235-3400
US

IV. Provider business mailing address

48 MEDICAL PARK DR E SUITE 355
BIRMINGHAM AL
35235-3400
US

V. Phone/Fax

Practice location:
  • Phone: 205-838-3036
  • Fax: 205-838-5832
Mailing address:
  • Phone: 205-838-3036
  • Fax: 205-838-5832

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberAL22444
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: