Provider Demographics
NPI:1265640460
Name:CORDELL, CHRISTINA C (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:C
Last Name:CORDELL
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 1:805 SAINT VINCENTS DR
Mailing Address - Street 2:SUITE 430
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1636
Mailing Address - Country:US
Mailing Address - Phone:205-939-1250
Mailing Address - Fax:205-939-1349
Practice Address - Street 1:805 SAINT VINCENTS DR
Practice Address - Street 2:SUITE 430
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1636
Practice Address - Country:US
Practice Address - Phone:205-939-1250
Practice Address - Fax:205-939-1349
Is Sole Proprietor?:No
Enumeration Date:2007-05-19
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL27931208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics