Provider Demographics
NPI:1093171399
Name:ENGLAND, JULIE ANNETTE (MD)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ANNETTE
Last Name:ENGLAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 19TH STREET SOUTH
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35249-0012
Mailing Address - Country:US
Mailing Address - Phone:205-934-9666
Mailing Address - Fax:
Practice Address - Street 1:625 19TH STREET SOUTH
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35249-0012
Practice Address - Country:US
Practice Address - Phone:205-934-9666
Practice Address - Fax:205-975-6424
Is Sole Proprietor?:No
Enumeration Date:2016-01-04
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
AL43566207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program