MEDICARE: DR. GIA BROTHERS D.M.D.

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
1	1223G0001X	General Practice Dentistry	5526	AL

General Provider Information

NPI Number	:	1780842427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GIA BROTHERS D.M.D.

Provider Business Mailing Address
First Line	:	2201 GRAND AVE
Second Line	:	SUITE 113
City	:	BIRMINGHAM
State	:	AL
Zip	:	35226-6102
Country	:	US
Telephone Number	:	205-945-3035
Fax Number	:

Provider Business Practice Location Address
First Line	:	2201 GRAND AVE
Second Line	:	SUITE 113
City	:	BIRMINGHAM
State	:	AL
Zip	:	35226-6102
Country	:	US
Telephone Number	:	205-945-3035
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2008
Last Update Date	:	07/06/2009

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