Healthcare Provider Details

I. General information

NPI: 1275627457
Provider Name (Legal Business Name): UAB HYPERTENSION CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

933 S 19TH ST CH19 ROOM 115
BIRMINGHAM AL
35294-0001
US

IV. Provider business mailing address

1530 3RD AVE S CH19 ROOM 115
BIRMINGHAM AL
35294-0002
US

V. Phone/Fax

Practice location:
  • Phone: 205-934-9281
  • Fax: 205-934-1302
Mailing address:
  • Phone: 205-934-9281
  • Fax: 205-975-5119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID A CALHOUN
Title or Position: DIRECTOR
Credential: M.D.
Phone: 205-934-9281