Healthcare Provider Details

I. General information

NPI: 1912978792
Provider Name (Legal Business Name): ALABAMA PULMONARY & CRITICAL CARE P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1722 PINE ST SUITE 406
MONTGOMERY AL
36106-1103
US

IV. Provider business mailing address

1722 PINE ST SUITE 406
MONTGOMERY AL
36106-1103
US

V. Phone/Fax

Practice location:
  • Phone: 334-834-5152
  • Fax: 334-834-5167
Mailing address:
  • Phone: 334-834-5152
  • Fax: 334-834-5167

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number20155
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number20155
License Number StateAL

VIII. Authorized Official

Name: STEPHANIE TRAYWICK
Title or Position: OFFICE MANAGER
Credential:
Phone: 334-834-5152