Healthcare Provider Details

I. General information

NPI: 1336890250
Provider Name (Legal Business Name): VULCAN HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2022
Last Update Date: 01/12/2022
Certification Date: 01/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7063 VETERANS PKWY # 200
PELL CITY AL
35125-5114
US

IV. Provider business mailing address

#376 732 MONTGOMERY HIGHWAY
VESTAVIA AL
35216
US

V. Phone/Fax

Practice location:
  • Phone: 205-777-9574
  • Fax:
Mailing address:
  • Phone: 205-777-9574
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: GEOFFREY H DYE
Title or Position: PRESIDENT
Credential: DPM
Phone: 205-777-9574