Individual provider · Type 1 NPI

James Evander Bean Raulston, MD

Student in an Organized Health Care Education/Training Program · Birmingham, AL

NPI number 1780004846 Active

Practice location

625 19th St S
Birmingham, AL 35233-1900

Call (205) 638-9589 Map

Mailing address

1700 6th Ave S
Birmingham, AL 35233-1802

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1780004846

James Evander Bean Raulston, MD's National Provider Identifier is 1780004846, issued on Apr 16, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Birmingham, AL. The record was last updated on Apr 28, 2017.