Healthcare Provider Details

I. General information

NPI: 1467894592
Provider Name (Legal Business Name): UAB SCHOOL OF MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2013
Last Update Date: 07/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UAB SCHOOL OF MEDICINE 1702 2ND AVE. S. FOT 1203
BIRMINGHAM AL
35294-3412
US

IV. Provider business mailing address

503 SOUTHWEST PKWY 606
COLLEGE STATION TX
77840-4762
US

V. Phone/Fax

Practice location:
  • Phone: 205-975-8884
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number State

VIII. Authorized Official

Name: RICHARD MARGISON
Title or Position: VP FINANCIAL AFFA
Credential:
Phone: 205-581-2726