Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 26062 | AL |
NPI | 1093920274 |
---|---|
Provider Name | Gim Teng |
First Address | Birmingham, AL 35205-5867 |
Second Address | Birmingham, AL 35249-1900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2007 |
Last Update Date | 08/07/2007 |