Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 33184 | AL |
NPI | 1235429481 |
---|---|
Provider Name | Dr. Michael Garrett Hurst |
First Address | Birmingham, AL 35294-2041 |
Second Address | Birmingham, AL 35294-2041 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2011 |
Last Update Date | 22/06/2015 |