Healthcare Provider Details
I. General information
NPI: 1568424760
Provider Name (Legal Business Name): DRS. CHADBAND & ROWLAND, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/04/2006
Last Update Date: 08/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
513 BROOKWOOD BLVD SUITE 200
BIRMINGHAM AL
35209-6862
US
IV. Provider business mailing address
513 BROOKWOOD BLVD SUITE 200
BIRMINGHAM AL
35209-6862
US
V. Phone/Fax
- Phone: 205-802-6722
- Fax: 205-802-6730
- Phone: 205-802-6722
- Fax: 205-802-6730
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM2500X |
| Taxonomy | Medical Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BOBBIE
HOLT
Title or Position: PRACTICE MANAGER
Credential:
Phone: 205-802-6728