Healthcare Provider Details

I. General information

NPI: 1285702068
Provider Name (Legal Business Name): PAPPAS EAR CLINIC, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2937 7TH AVE S
BIRMINGHAM AL
35233-2929
US

IV. Provider business mailing address

2937 7TH AVE S
BIRMINGHAM AL
35233-2929
US

V. Phone/Fax

Practice location:
  • Phone: 205-251-7169
  • Fax: 205-254-3013
Mailing address:
  • Phone: 205-251-7169
  • Fax: 205-254-3013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DENNIS GEORGE PAPPAS JR.
Title or Position: C.E.O.
Credential: M.D.
Phone: 205-251-7169