Healthcare Provider Details

I. General information

NPI: 1356089874
Provider Name (Legal Business Name): RELIAS HOSPITALIST MEDICINE SPECIALISTS OF HAMILTON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2022
Last Update Date: 05/24/2022
Certification Date: 05/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1256 MILITARY ST S
HAMILTON AL
35570-5003
US

IV. Provider business mailing address

1256 MILITARY ST S
HAMILTON AL
35570-5003
US

V. Phone/Fax

Practice location:
  • Phone: 205-921-6200
  • Fax:
Mailing address:
  • Phone: 205-921-6200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: LUKE WEST
Title or Position: CEO
Credential:
Phone: 662-432-4106