Healthcare Provider Details

I. General information

NPI: 1508329863
Provider Name (Legal Business Name): CLAIRE ELIZABETH CRIDER CORDES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2019
Last Update Date: 02/13/2024
Certification Date: 02/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1890 AL HIGHWAY 157 STE 430
CULLMAN AL
35058-0689
US

IV. Provider business mailing address

625 19TH STREET SOUTH
BIRMINGHAM AL
35249-1980
US

V. Phone/Fax

Practice location:
  • Phone: 256-739-1575
  • Fax: 256-517-9328
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD42081
License Number StateAL

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: