Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 28007 | AL |
NPI | 1285852293 |
---|---|
Provider Name | Tamula M Patterson |
First Address | Birmingham, AL 35255-5309 |
Second Address | Birmingham, AL 35233-1900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2007 |
Last Update Date | 29/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009942286 | (05) | AL |
009942287 | (05) | AL |
009942288 | (05) | AL |
009942289 | (05) | AL |
009942290 | (05) | AL |
009942291 | (05) | AL |
051540181 | BCBS (01) | AL |
051540182 | BCBS (01) | AL |
051540183 | BCBS (01) | AL |
051540184 | BCBS (01) | AL |
051540185 | BCBS (01) | AL |
051540186 | BCBS (01) | AL |