Healthcare Provider Details

I. General information

NPI: 1083034888
Provider Name (Legal Business Name): CAMERON TOWNSEND CORTE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2014
Last Update Date: 10/02/2023
Certification Date: 10/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8050 SPRING RUN DR
FAIRHOPE AL
36532-3854
US

IV. Provider business mailing address

8050 SPRING RUN DR
FAIRHOPE AL
36532-3854
US

V. Phone/Fax

Practice location:
  • Phone: 727-269-6008
  • Fax:
Mailing address:
  • Phone: 727-269-6008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME125556
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number38259
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: