Healthcare Provider Details

I. General information

NPI: 1003236019
Provider Name (Legal Business Name): ERICA MCDANIEL ABNEY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2014
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 PAUL W BRYANT DR E
TUSCALOOSA AL
35401-2055
US

IV. Provider business mailing address

305 PAUL W BRYANT DR E
TUSCALOOSA AL
35401-2055
US

V. Phone/Fax

Practice location:
  • Phone: 205-345-0192
  • Fax: 205-759-8794
Mailing address:
  • Phone: 205-345-0192
  • Fax: 205-759-8794

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number2239
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: