Brenda Layton Mcgivern
Adolescent Medicine
300 W Pettus St
Demopolis
, Alabama 36732-2830
Brenda Layton Mcgivern
Adolescent Medicine
300 W Pettus St
Demopolis
, Alabama 36732-2830
(334) 289-5758
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Brenda Layton Mcgivern
- Po Box 670
- Demopolis, AL
- Zip : 36732-0670
- Fax : (334) 289-5758
- Phone : (334) 289-5770
Second Address
- Brenda Layton Mcgivern
- 300 W Pettus St
- Demopolis, AL
- Zip : 36732-2830
- Fax : (334) 289-5758
- Phone : (334) 289-5770
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | DO1062 | AL |
National Provider Identifier
| NPI | 1033276035 |
|---|---|
| Provider Name | Brenda Layton Mcgivern |
| First Address | Demopolis, AL 36732-0670 |
| Second Address | Demopolis, AL 36732-2830 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/01/2007 |
| Last Update Date | 29/03/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 107779 | (05) | AL |
| 51596280 | BLUE CROSS (01) | AL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.