Healthcare Provider Details

I. General information

NPI: 1134194905
Provider Name (Legal Business Name): ALEX K CURTIS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 04/27/2020
Certification Date: 04/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 US HIGHWAY 80 E
DEMOPOLIS AL
36732-3605
US

IV. Provider business mailing address

105 US HIGHWAY 80 E
DEMOPOLIS AL
36732-3605
US

V. Phone/Fax

Practice location:
  • Phone: 334-287-2423
  • Fax: 334-287-2594
Mailing address:
  • Phone: 334-289-4000
  • Fax: 334-287-2594

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number51892
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number14037
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: