Healthcare Provider Details

I. General information

NPI: 1629499264
Provider Name (Legal Business Name): ALABAMA HEALTH CARE MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2013
Last Update Date: 09/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8130 SEATON PL
MONTGOMERY AL
36116-7204
US

IV. Provider business mailing address

8130 SEATON PL
MONTGOMERY AL
36116-7204
US

V. Phone/Fax

Practice location:
  • Phone: 334-356-7802
  • Fax: 334-356-8456
Mailing address:
  • Phone: 334-356-7802
  • Fax: 334-356-8456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JIMMY BABILI
Title or Position: OFFICE MANAGER
Credential:
Phone: 334-356-7802