Healthcare Provider Details

I. General information

NPI: 1285640375
Provider Name (Legal Business Name): MICHAEL JOSEPH DOYLE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 6TH AVE S
BIRMINGHAM AL
35233-1601
US

IV. Provider business mailing address

7312 WINDING RIDGE RD
COLUMBUS GA
31904-1940
US

V. Phone/Fax

Practice location:
  • Phone: 205-930-3600
  • Fax: 205-930-3497
Mailing address:
  • Phone: 706-321-9306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number20997
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: