Healthcare Provider Details

I. General information

NPI: 1629267141
Provider Name (Legal Business Name): ARDEN LEROY AYLOR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2007
Last Update Date: 09/29/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

803 NORTH ST E
TALLADEGA AL
35160-2529
US

IV. Provider business mailing address

803 NORTH ST E
TALLADEGA AL
35160-2529
US

V. Phone/Fax

Practice location:
  • Phone: 256-362-1600
  • Fax: 256-362-8698
Mailing address:
  • Phone: 256-362-1600
  • Fax: 256-362-8698

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number28874
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number42258
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number28874
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: