Healthcare Provider Details

I. General information

NPI: 1871549964
Provider Name (Legal Business Name): CARDIO-THORACIC SURGEONS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 09/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2871 ACTON ROAD SUITE 100
BIRMINGHAM AL
35243-2560
US

IV. Provider business mailing address

2871 ACTON ROAD SUITE 100
BIRMINGHAM AL
35243-2560
US

V. Phone/Fax

Practice location:
  • Phone: 205-939-0023
  • Fax: 205-939-0293
Mailing address:
  • Phone: 205-939-0023
  • Fax: 205-939-0293

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN L HARLAN
Title or Position: PRESIDENT
Credential: MD
Phone: 205-939-0023