Healthcare Provider Details

I. General information

NPI: 1700346624
Provider Name (Legal Business Name): ALABAMA EAR, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2019
Last Update Date: 03/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2937 7TH AVE S
BIRMINGHAM AL
35233-2929
US

IV. Provider business mailing address

2937 7TH AVE S
BIRMINGHAM AL
35233-2929
US

V. Phone/Fax

Practice location:
  • Phone: 205-251-7169
  • Fax: 205-254-3013
Mailing address:
  • Phone: 205-251-7169
  • Fax: 205-254-3013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0901X
TaxonomyOtology & Neurotology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DENNIS G. PAPPAS JR.
Title or Position: PHYSICIAN
Credential: MD
Phone: 205-251-7169