Healthcare Provider Details
I. General information
NPI: 1528126919
Provider Name (Legal Business Name): HONEA, HOUSERMAN & LONG, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/05/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2006 BROOKWOOD MEDICAL CTR DR SUITE 508
BIRMINGHAM AL
35209-6899
US
IV. Provider business mailing address
2006 BROOKWOOD MEDICAL CTR DR SUITE 508
BIRMINGHAM AL
35209-6899
US
V. Phone/Fax
- Phone: 205-870-9784
- Fax: 205-803-1980
- Phone: 205-870-9784
- Fax: 205-803-1980
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VE0102X |
| Taxonomy | Reproductive Endocrinology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
KATHRYN
L
HONEA
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 205-870-9784