Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | AL11564 | AL |
NPI | 1003920430 |
---|---|
Provider Name | James R Dollar |
First Address | Birmingham, AL 35235-3400 |
Second Address | Birmingham, AL 35235-3400 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000018483 | (05) | AL |
160007752 | RAIL ROAD MEDICARE (01) | AL |
51018483 | BLUE CROSS AND BLUE SHIEL (01) | AL |
7410152 | UNITED HEALTH CARE (01) | AL |
C74719 | (02) | AL |