Healthcare Provider Details

I. General information

NPI: 1568150928
Provider Name (Legal Business Name): ALABAMA ALLERGY, ASTHMA, AND SINUS CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2023
Last Update Date: 06/15/2023
Certification Date: 06/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 WESTOVER CIR STE C
MADISON AL
35758-4910
US

IV. Provider business mailing address

101 WESTOVER CIR STE C
MADISON AL
35758-4910
US

V. Phone/Fax

Practice location:
  • Phone: 256-890-0331
  • Fax:
Mailing address:
  • Phone: 256-890-0331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. VALERIE LE
Title or Position: PHYSICIAN/OWNER
Credential: MD
Phone: 256-890-0331