Healthcare Provider Details

I. General information

NPI: 1689614737
Provider Name (Legal Business Name): DAVID A MCLAIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 10/21/2020
Certification Date: 10/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2229 CAHABA VALLEY DR
BIRMINGHAM AL
35242-2602
US

IV. Provider business mailing address

2229 CAHABA VALLEY DR
BIRMINGHAM AL
35242-2602
US

V. Phone/Fax

Practice location:
  • Phone: 205-991-8996
  • Fax: 205-991-8997
Mailing address:
  • Phone: 205-991-8996
  • Fax: 205-997-8997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number9639
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: