Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 10290 | AL |
NPI | 1083722573 |
---|---|
Provider Name | Dr. Alan Mark Babb |
First Address | Montgomery, AL 36111-1003 |
Second Address | Montgomery, AL 36109-3725 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/08/2006 |
Last Update Date | 08/07/2007 |