MEDICARE: DR. ADRIAN ALTON CARGILL JR. M.B.B.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	38163	AL

General Provider Information

NPI Number	:	1447518105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADRIAN ALTON CARGILL JR. M.B.B.S.

Provider Business Mailing Address
First Line	:	PO BOX 939
Second Line	:
City	:	ALEXANDER CITY
State	:	AL
Zip	:	35011-0939
Country	:	US
Telephone Number	:	256-329-7308
Fax Number	:	256-329-7617

Provider Business Practice Location Address
First Line	:	3368 HIGHWAY 280 STE 209
Second Line	:
City	:	ALEXANDER CITY
State	:	AL
Zip	:	35010-3375
Country	:	US
Telephone Number	:	256-215-7474
Fax Number	:	256-215-7475

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2012
Last Update Date	:	09/03/2019

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