Healthcare Provider Details

I. General information

NPI: 1780379149
Provider Name (Legal Business Name): CAITLIN REBECCA DRUMMOND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2023
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 W COLLEGE ST
FLORENCE AL
35630-5520
US

IV. Provider business mailing address

421 W COLLEGE ST
FLORENCE AL
35630-5520
US

V. Phone/Fax

Practice location:
  • Phone: 256-764-9522
  • Fax:
Mailing address:
  • Phone: 256-764-9522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number54367
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: