Healthcare Provider Details

I. General information

NPI: 1992178628
Provider Name (Legal Business Name): NORTHERN ALABAMA PHYSICIANS, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2015
Last Update Date: 11/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4370 W MAIN ST
DOTHAN AL
36305-1056
US

IV. Provider business mailing address

PO BOX 602159
CHARLOTTE NC
28260-2159
US

V. Phone/Fax

Practice location:
  • Phone: 334-793-5000
  • Fax: 334-793-4613
Mailing address:
  • Phone: 800-210-7034
  • Fax: 231-922-4030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: DERIK K KING
Title or Position: MANAGING PARTNER
Credential: M.D.
Phone: 866-916-5259