Healthcare Provider Details

I. General information

NPI: 1376035543
Provider Name (Legal Business Name): NORTH RIVER INTERNAL MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2018
Last Update Date: 12/17/2020
Certification Date: 12/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 RICE MINE RD N SUITE 150
TUSCALOOSA AL
35406-2375
US

IV. Provider business mailing address

1110 DR. EDWARD HILLARD DRIVE SUITE A
TUSCALOOSA AL
35401-7446
US

V. Phone/Fax

Practice location:
  • Phone: 205-764-2362
  • Fax: 205-333-4660
Mailing address:
  • Phone: 205-333-4655
  • Fax: 205-333-4660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES B WILHITE
Title or Position: MEDICAL DOCTOR
Credential: MD
Phone: 205-764-2362