Healthcare Provider Details

I. General information

NPI: 1700177482
Provider Name (Legal Business Name): JEFFREY DAVID CAUGHRAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2011
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3719 DAUPHIN ST FL 5
MOBILE AL
36608-1753
US

IV. Provider business mailing address

3719 DAUPHIN ST FL 5
MOBILE AL
36608-1753
US

V. Phone/Fax

Practice location:
  • Phone: 251-625-6896
  • Fax: 251-472-4461
Mailing address:
  • Phone: 251-625-6896
  • Fax: 251-472-4461

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number51394
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License Number51394
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: