Healthcare Provider Details

I. General information

NPI: 1689894776
Provider Name (Legal Business Name): UAHSF PEDIATRIC ALLERGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 7TH AVE S
BIRMINGHAM AL
35233-1711
US

IV. Provider business mailing address

703 VOLKER HALL
BIRMINGHAM AL
35294-0001
US

V. Phone/Fax

Practice location:
  • Phone: 205-939-9586
  • Fax: 205-975-7080
Mailing address:
  • Phone: 205-934-3795
  • Fax: 205-975-2499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0201X
TaxonomyPediatric Allergy/Immunology Physician
License Number
License Number State

VIII. Authorized Official

Name: PRESCOTT ATKINSON
Title or Position: M.D.
Credential:
Phone: 205-939-9586