Basic Information
Provider Information
NPI: 1275854812
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROUTMAN
FirstName: JAMIE
MiddleName: MARIE
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2006 BROOKWOOD MEDICAL CTR DR STE 202
Address2:  
City: BIRMINGHAM
State: AL
PostalCode: 352096823
CountryCode: US
TelephoneNumber: 2053978850
FaxNumber: 7342326020
Practice Location
Address1: 2006 BROOKWOOD MEDICAL CTR DR STE 202
Address2:  
City: BIRMINGHAM
State: AL
PostalCode: 352096823
CountryCode: US
TelephoneNumber: 2053978850
FaxNumber: 7342326020
Other Information
ProviderEnumerationDate: 06/17/2010
LastUpdateDate: 03/31/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/31/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X4301096807MIY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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