Healthcare Provider Details

I. General information

NPI: 1386798445
Provider Name (Legal Business Name): ALABAMA INSTITUTE FOR DEAF & BLIND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 SOUTH ST E
TALLADEGA AL
35160-2411
US

IV. Provider business mailing address

205 SOUTH ST E
TALLADEGA AL
35160-2411
US

V. Phone/Fax

Practice location:
  • Phone: 256-761-3201
  • Fax: 256-761-3485
Mailing address:
  • Phone: 256-761-3201
  • Fax: 256-761-3485

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number StateAL

VIII. Authorized Official

Name: DR. TERRY GRAHAM
Title or Position: PRESIDENT
Credential:
Phone: 256-761-3201