Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 4232 | AL |
NPI | 1417902602 |
---|---|
Provider Name | James Maxwell Austin |
First Address | Birmingham, AL 35255-5310 |
Second Address | Birmingham, AL 35233 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 02/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000095370 | (05) | AL |
000095370 | BLUE CROSS (01) | AL |
009932803 | (05) | AL |
009971085 | (05) | AL |
051524135 | BLUE CROSS (01) | AL |
051530161 | BLUE CROSS (01) | AL |
980000270 | RAILROAD MEDICARE (01) | AL |
C78914 | HEALTHSPRING (01) | AL |
C78914 | VIVA (01) | AL |