Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 27157 | AL |
N | 207RC0000X | Internist - Cardiovascular Disease | 31145 | SC |
Y | 207RI0011X | Interventional Cardiology | 27157 | AL |
NPI | 1003932955 |
---|---|
Provider Name | Jacob Cross Townsend |
First Address | Birmingham, AL 35235-3411 |
Second Address | Birmingham, AL 35235-3411 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2007 |
Last Update Date | 24/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102I69760 | (02) | AL |
138950 | (05) | AL |