Healthcare Provider Details

I. General information

NPI: 1053855122
Provider Name (Legal Business Name): PATHWAY HEALTHCARE ALABAMA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2016
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 MEDICAL PARK DR E STE 453
BIRMINGHAM AL
35235-3472
US

IV. Provider business mailing address

48 MEDICAL PARK DR E STE 453
BIRMINGHAM AL
35235-3472
US

V. Phone/Fax

Practice location:
  • Phone: 205-517-7730
  • Fax: 205-838-5863
Mailing address:
  • Phone: 205-208-9312
  • Fax: 205-848-2227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: PATRICK COMBS
Title or Position: CEO
Credential:
Phone: 205-208-9312