Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 25292 | AL |
NPI | 1093759268 |
---|---|
Provider Name | Cynthia J Brown |
First Address | Birmingham, AL 35255-5310 |
Second Address | Birmingham, AL 35233 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 16/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000092794 | BLUE CROSS (01) | AL |
009925005 | (05) | AL |
051516367 | BLUE CROSS (01) | AL |
051516368 | BLUE CROSS (01) | AL |
051553717 | (05) | AL |
430053372 | RAILROAD MEDICARE (01) | AL |
P00045138 | RAILROAD MEDICARE (01) | AL |