Healthcare Provider Details

I. General information

NPI: 1083687990
Provider Name (Legal Business Name): GARY ALAN CALHOUN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2006
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11491 US HIGHWAY 431
ALBERTVILLE AL
35950-0136
US

IV. Provider business mailing address

PO BOX 668
ALBERTVILLE AL
35950-0012
US

V. Phone/Fax

Practice location:
  • Phone: 256-894-6976
  • Fax:
Mailing address:
  • Phone: 256-505-6826
  • Fax: 256-571-2862

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number15304
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: