Provider Demographics
NPI:1780858225
Name:LAW, MARK A (MD)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:A
Last Name:LAW
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 55823
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35255-5823
Mailing Address - Country:US
Mailing Address - Phone:205-934-4948
Mailing Address - Fax:205-212-3002
Practice Address - Street 1:1700 6TH AVE S
Practice Address - Street 2:SUITE 9100
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1802
Practice Address - Country:US
Practice Address - Phone:205-934-4948
Practice Address - Fax:205-212-3002
Is Sole Proprietor?:No
Enumeration Date:2008-04-16
Last Update Date:2015-01-09
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Provider Licenses
StateLicense IDTaxonomies
AL242082080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology