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HENRY MICHAEL BORN M.D.
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1831287127
Individual Registrant: HENRY MICHAEL BORN M.D.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
3871 US HIGHWAY 278 E HOKES BLUFF, AL 35903-7507 US
Tel: 256-492-0544 Fax: 256-492-0558
Tel: 256-492-0544 Fax: 256-492-0558
Contact information for business:
3871 US HIGHWAY 278 E HOKES BLUFF, AL 35903-7507 US
Tel: 256-492-0544 Fax: 256-492-0558
Tel: 256-492-0544 Fax: 256-492-0558
Registration Information:
NPI: 1831287127
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | AL | 10586 |
| N | 207QA0401X | Allopathic & Osteopathic Physicians Family Medicine | AL | 10586 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BCBS OF AL | 51503789 | AL | 01 |
| 009953560 | AL | 05 |
