Most Relevant Information
Provider Data
| NPI Number: | 1003318619 |
| Provider Name: | ANDREA DIAL |
| Entity Type: | Individual |
| Taxonomy Code: | 363LG0600X |
| Specialty: | Nurse Practitioner |
| License Number: | 1-143782 |
Most Important Dates
| Enumeration Date: | 02/28/2018 |
| Last Updated: | 01/31/2024 |
Provider Practice Location
1201 11TH AVE S STE 410
BIRMINGHAM
AL
352053423
Practice Location Phone/Fax
| Phone: | 2059394939 |
| Fax: |
Provider Mailing Location
8506 HIGHLANDS TRCE
TRUSSVILLE
AL
351733816
Provider Mailing Phone/Fax
| Phone: | 2059109526 |
| Fax: |