Healthcare Provider Details

I. General information

NPI: 1144291154
Provider Name (Legal Business Name): DELSADIE PULLAR CALLINS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/28/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 ARLINGTON AVE
BESSEMER AL
35020-4221
US

IV. Provider business mailing address

2201 ARLINGTON AVE
BESSEMER AL
35020-4221
US

V. Phone/Fax

Practice location:
  • Phone: 205-424-6001
  • Fax: 205-497-9369
Mailing address:
  • Phone: 205-424-6001
  • Fax: 205-497-9369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number00004380
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: