OrganizationActive
Bodylogicmd of Birmingham
NPI 1427407428 · Primary Care Clinic/Center · Birmingham, AL
Provider details
- NPI number
- 1427407428
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeffrey Donohue, Owner(770) 402-9602
- License
- MD17416 (AL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1024 Edenton St
Birmingham, AL 35242-9258
Phone: (866) 460-3246
Approximate (ZIP-level) locationGet directions
Mailing address
403 Juniper Mill Trce
Canton, GA 30114-9601
Registry dates
- Enumerated
- 2016-06-09
- Last updated
- 2016-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.