Individual provider · Type 1 NPI

Mary Fondren

Specialist · Birmingham, AL

NPI number 1740730167 Active

Practice location

3105 Independence Dr, Suite 105
Birmingham, AL 35209-4111

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1176 (AL)

Specialist: 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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About NPI 1740730167

Mary Fondren's National Provider Identifier is 1740730167, issued on Oct 10, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Birmingham, AL. The record was last updated on Oct 10, 2016.