Healthcare Provider Details

I. General information

NPI: 1346213881
Provider Name (Legal Business Name): NORTH ALABAMA CARDIOLOGY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2006
Last Update Date: 04/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 S 5TH ST
GADSDEN AL
35901-5103
US

IV. Provider business mailing address

503 S 5TH ST
GADSDEN AL
35901-5103
US

V. Phone/Fax

Practice location:
  • Phone: 256-546-6200
  • Fax: 256-546-6250
Mailing address:
  • Phone: 256-546-6200
  • Fax: 256-546-6250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number00017905
License Number StateAL

VIII. Authorized Official

Name: MRS. LARUE S SALSTER
Title or Position: OFFICE MANAGER
Credential: RCS, RVS
Phone: 256-546-6200