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General NPI Number Information
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NPI Number | 1013465988
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Entity Type | Organization
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Legal Business Name | STEVE LOVELADY MD LLC
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Dates
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Enumeration Date | 09/20/2016
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Last Update Date | 09/20/2016
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Provider Practice Location Address
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Address Line | 1490 N BANK PKWY STE 290
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City | TUSCALOOSA
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State | AL
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Zip | 35406-2430
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Country | US
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Telephone | 205-523-7001
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Fax |
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Provider Business Mailing Address
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Address Line | 315 MAIN AVE
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City | NORTHPORT
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State | AL
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Zip | 35476-5057
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Country | US
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Telephone | 205-523-7001
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | STEPHEN LOVELADY
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Credential |
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Telephone | 205-454-3926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 11421
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License Number State | AL
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