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NPI Code Detail

MEDICARE: DR. JOAN BLACK CAIN MD

MEDICARE:  DR. JOAN BLACK CAIN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician10162AL

General Provider Information

NPI Number : 1639430770
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOAN BLACK CAIN MD
Provider Business Mailing Address
First Line : 2936 REDMONT PARK LN
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35205-2136
Country : US
Telephone Number : 205-322-3696
Fax Number : 205-716-1215
Provider Business Practice Location Address
First Line : 2936 REDMONT PARK LN
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35205-2136
Country : US
Telephone Number : 205-322-3696
Fax Number : 205-716-1215
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2012
Last Update Date : 06/05/2012

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Directions to “ DR. JOAN BLACK CAIN MD” Practice Location

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