Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | 20156 | AL |
NPI | 1225007172 |
---|---|
Provider Name | Jill K Billions |
First Address | Birmingham, AL 35255-5310 |
Second Address | Birmingham, AL 35249-1900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 02/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009999295 | (05) | AL |
009999305 | (05) | AL |
051519181 | BLUE CROSS (01) | AL |
051529182 | BLUE CROSS (01) | AL |
G82895 | (02) | AL |