Basic Information
Provider Information
NPI: 1528395696
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALENA
FirstName: CAROLINE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
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OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 55309
Address2:  
City: BIRMINGHAM
State: AL
PostalCode: 352555309
CountryCode: US
TelephoneNumber: 2057319050
FaxNumber:  
Practice Location
Address1: 619 19TH ST S
Address2:  
City: BIRMINGHAM
State: AL
PostalCode: 352496339
CountryCode: US
TelephoneNumber: 2059344011
FaxNumber: 2052979411
Other Information
ProviderEnumerationDate: 11/11/2009
LastUpdateDate: 09/12/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XME128551FLN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000X33995ALY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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