Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | 18970 | AL |
NPI | 1427143825 |
---|---|
Provider Name | Dr. Audie Lee Woolley |
First Address | Birmingham, AL 35243 |
Second Address | Brimingham, AL 35243 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1010245 | UNITED HEALTHCARE (01) | AL |
25457 | SOUTHERN HEALTH SERVICES (01) | AL |
4022 | HEALTH SPRING OF AL (01) | |
E56501 | (02) | AL |