Healthcare Provider Details

I. General information

NPI: 1639179609
Provider Name (Legal Business Name): STEVEN P FURR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2005
Last Update Date: 05/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 HOSPITAL DR
JACKSON AL
36545-2423
US

IV. Provider business mailing address

PO BOX 639
JACKSON AL
36545-0639
US

V. Phone/Fax

Practice location:
  • Phone: 251-246-4446
  • Fax: 251-246-5111
Mailing address:
  • Phone: 251-246-4446
  • Fax: 251-246-5111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number10394
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: