Healthcare Provider Details

I. General information

NPI: 1104951383
Provider Name (Legal Business Name): ALABAMA OBSTETRICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 01/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1610 OPELIKA ROAD
PHENIX CITY AL
36867
US

IV. Provider business mailing address

1610 OPELIKA ROAD
PHENIX CITY AL
36867
US

V. Phone/Fax

Practice location:
  • Phone: 334-448-4444
  • Fax: 334-448-8200
Mailing address:
  • Phone: 334-448-4444
  • Fax: 334-448-8200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. THOMAS N. MALONE
Title or Position: PARTNER
Credential: M.D.
Phone: 334-448-4444