Healthcare Provider Details

I. General information

NPI: 1649241159
Provider Name (Legal Business Name): ALABAMA ORTHOPAEDIC CENTER, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 INDEPENDENCE DR
BIRMINGHAM AL
35209-5709
US

IV. Provider business mailing address

3525 INDEPENDENCE DR
BIRMINGHAM AL
35209-5709
US

V. Phone/Fax

Practice location:
  • Phone: 205-802-6700
  • Fax: 205-802-6701
Mailing address:
  • Phone: 205-802-6700
  • Fax: 205-802-6701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: AMANDA THORNTON
Title or Position: ADMINISTRATOR
Credential:
Phone: 205-802-6700