Healthcare Provider Details
I. General information
NPI: 1326153255
Provider Name (Legal Business Name): HEART & VASCULAR CARE OF ALABAMA, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
151 NARROWS PKWY SUITE E
BIRMINGHAM AL
35242-8637
US
IV. Provider business mailing address
151 NARROWS PKWY SUITE E
BIRMINGHAM AL
35242-8637
US
V. Phone/Fax
- Phone: 205-980-1380
- Fax:
- Phone: 205-980-1380
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2086S0129X |
| Taxonomy | Vascular Surgery Physician |
| License Number | DO143 |
| License Number State | AL |
VIII. Authorized Official
Name:
GREGORY
W
NATELLO
Title or Position: OWNER
Credential: DO
Phone: 205-980-1380