person
Dr. Boris Datnow, BORISDATNOW
Specialist in Birmingham, Alabama
NPI 1821244641

Boris Datnow is a Specialist based in Birmingham, AL. Boris Datnow practices in Birmingham, AL and has the professional credentials of BORISDATNOW. The NPI Number for Boris Datnow is 1821244641 and holds a License No. 6110 (Alabama).

The current practice location address for Boris Datnow is 2021 Brae Trl, Birmingham, AL and can be reached out via phone at 205-408-0363 and via fax at 205-408-0363.

Location: 2021 Brae Trl, Birmingham, AL, 35242-7134
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Provider Profile Details
NPI Number
1821244641
Provider Name
Boris Datnow
Credential
BORISDATNOW
Provider Entity Type
Individual
Gender
Male
Address
2021 Brae Trl, Birmingham, AL, 35242-7134
Phone Number
205-408-0363
Fax Number
205-408-0363
Provider Enumeration Date
08/12/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6110 01 AL ALABAMA LISENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
2021 Brae Trl
City
State
Zip
35242-7134
Phone Number
205-408-0363
Fax Number
205-408-0363
person
Provider Business Mailing Address Details
Address
2021 Brae Trl
City
State
Zip
35242-7134
Phone Number
205-408-0363
Fax Number
205-408-0363
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
6110 (Alabama)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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