Basic Information
| Provider Information | |||||||||
| NPI: | 1285044933 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ROTH | ||||||||
| FirstName: | CHRISTEN | ||||||||
| MiddleName: | THIGPEN | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 625 19TH ST S | ||||||||
| Address2: | |||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352331900 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2056389589 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2004 AIRPORT RD SW | ||||||||
| Address2: | |||||||||
| City: | HUNTSVILLE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 358015845 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2058885437 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/04/2014 | ||||||||
| LastUpdateDate: | 08/08/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/08/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 34439 | AL | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.