NPI 1740611474

Gill Reynolds-Pridgett

Organisation Voluntary or Charitable Agency Birmingham, AL

Practice location

Address: 12 Perimeter Park S, Birmingham, AL 35243-2326
Phone: (866) 559-5735
Fax: (866) 558-2242
Mailing address: 1320 Main St, Columbia, SC 29201-3204

Authorised official

Name: Gill Reynolds-Pridgett
Title: Executive Director
Phone: (866) 559-5735

Registered specialties (2)

Voluntary or Charitable Agency Primary

Agencies Taxonomy 251V00000X

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Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

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Registry record

NPI: 1740611474
Entity type: Organization
NPI issued: 5 Dec 2013
Record last updated: 5 Dec 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.