Healthcare Provider Details

I. General information

NPI: 1306181151
Provider Name (Legal Business Name): FORD FOOT INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2012
Last Update Date: 01/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1251 MCFARLAND BLVD NE
TUSCALOOSA AL
35406-2205
US

IV. Provider business mailing address

1251 MCFARLAND BLVD NE
TUSCALOOSA AL
35406-2205
US

V. Phone/Fax

Practice location:
  • Phone: 205-464-9619
  • Fax: 205-464-9646
Mailing address:
  • Phone: 205-464-9619
  • Fax: 205-464-9646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number307
License Number StateAL

VIII. Authorized Official

Name: ARABI ARASH
Title or Position: OWNER
Credential:
Phone: 205-758-8809