Provider Demographics
NPI:1326076100
Name:BIRMINGHAM ALLERGY & ASTHMA SPECIALISTS, PC
Entity Type:Organization
Organization Name:BIRMINGHAM ALLERGY & ASTHMA SPECIALISTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING & INSURANCE SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:SIDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-943-1197
Mailing Address - Street 1:3125 INDEPENDENCE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-4163
Mailing Address - Country:US
Mailing Address - Phone:205-943-1197
Mailing Address - Fax:205-879-8259
Practice Address - Street 1:3125 INDEPENDENCE DR STE 100
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-4163
Practice Address - Country:US
Practice Address - Phone:205-943-1197
Practice Address - Fax:205-879-2995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Multi-Specialty