Healthcare Provider Details

I. General information

NPI: 1841110012
Provider Name (Legal Business Name): INDIAN SPRINGS HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5502 CALDWELL MILL RD STE B
BIRMINGHAM AL
35242-4546
US

IV. Provider business mailing address

5137 HOLLOW LOG LN STE A
BIRMINGHAM AL
35244-1925
US

V. Phone/Fax

Practice location:
  • Phone: 205-533-8088
  • Fax: 205-431-3412
Mailing address:
  • Phone: 205-370-7859
  • Fax: 205-431-3412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SANDRA KING
Title or Position: SOLE MEMBER
Credential: FNP-BC, DNP
Phone: 205-370-7859