Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 5685 | AL |
NPI | 1124047584 |
---|---|
Provider Name | Craig Huron Christopher |
First Address | Birmingham, AL 35255-5310 |
Second Address | Birmingham, AL 35233 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 31/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009938761 | (05) | AL |
009938762 | (05) | AL |
009938763 | (05) | AL |
009938764 | (05) | AL |
051536305 | BCBS (01) | AL |
051536309 | BCBS (01) | AL |
051536310 | BCBS (01) | AL |
051537606 | BCBS (01) | AL |