Healthcare Provider Details

I. General information

NPI: 1396802351
Provider Name (Legal Business Name): CATHERINE P. SCARBROUGH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 01/27/2021
Certification Date: 01/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1026 GOODYEAR AVE STE 100
GADSDEN AL
35903-1194
US

IV. Provider business mailing address

850 PETER BRYCE BLVD SUITE 201
TUSCALOOSA AL
35401-7419
US

V. Phone/Fax

Practice location:
  • Phone: 256-492-8256
  • Fax: 564-928-2712
Mailing address:
  • Phone: 205-348-1770
  • Fax: 205-348-6561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number24664
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number28973
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: