Healthcare Provider Details

I. General information

NPI: 1982746525
Provider Name (Legal Business Name): MATTHEW K ABELE, MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 01/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 10TH AVE S SUITE 501
BIRMINGHAM AL
35205-1200
US

IV. Provider business mailing address

2700 10TH AVE S SUITE 501
BIRMINGHAM AL
35205-1200
US

V. Phone/Fax

Practice location:
  • Phone: 205-939-6890
  • Fax: 205-939-6895
Mailing address:
  • Phone: 205-939-6890
  • Fax: 205-939-6895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number17874
License Number StateAL

VIII. Authorized Official

Name: DR. MATTHEW KARL ABELE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 205-939-6890