Healthcare Provider Details

I. General information

NPI: 1508883489
Provider Name (Legal Business Name): ALLISON M CAVENDER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 10/24/2024
Certification Date: 10/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1616 6TH AVE S
BIRMINGHAM AL
35233-1788
US

IV. Provider business mailing address

405 BELCHER ST
CENTREVILLE AL
35042-2946
US

V. Phone/Fax

Practice location:
  • Phone: 205-939-9585
  • Fax: 205-975-6503
Mailing address:
  • Phone: 205-926-2992
  • Fax: 205-316-7675

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number23111
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: