Basic Information
Provider Information
NPI: 1639324825
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TOWNS
FirstName: GRAHAM
MiddleName: COOPER
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 55310
Address2:  
City: BIRMINGHAM
State: AL
PostalCode: 352555310
CountryCode: US
TelephoneNumber: 2057319701
FaxNumber:  
Practice Location
Address1: 2000 6TH AVE S
Address2:  
City: BIRMINGHAM
State: AL
PostalCode: 352332110
CountryCode: US
TelephoneNumber: 2059349999
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/01/2008
LastUpdateDate: 12/13/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RN0300X31891ALY Allopathic & Osteopathic PhysiciansInternal MedicineNephrology

No ID Information.


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