Healthcare Provider Details

I. General information

NPI: 1548130982
Provider Name (Legal Business Name): JOHN-CUYLER ALEXANDER CAMP L.H.I.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2025
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1491 MONTGOMERY HWY
VESTAVIA HILLS AL
35216-3633
US

IV. Provider business mailing address

2230 ROSWELL RD STE 110
MARIETTA GA
30062-2945
US

V. Phone/Fax

Practice location:
  • Phone: 205-824-8170
  • Fax:
Mailing address:
  • Phone: 770-872-0204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: