Healthcare Provider Details

I. General information

NPI: 1548242563
Provider Name (Legal Business Name): MICHAEL A DRUMMOND MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2005
Last Update Date: 11/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

817 PRINCETON AVE SW SUITE 306
BIRMINGHAM AL
35211-1333
US

IV. Provider business mailing address

817 PRINCETON AVE SW SUITE 306
BIRMINGHAM AL
35211-1333
US

V. Phone/Fax

Practice location:
  • Phone: 205-783-0160
  • Fax: 205-788-6249
Mailing address:
  • Phone: 205-783-0160
  • Fax: 205-788-6249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number00013686
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: