=====================================================
General NPI Number Information
=====================================================
NPI Number | 1285640375
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MICHAEL JOSEPH DOYLE M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/31/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1515 6TH AVE S
-----------------------------------------------------
City | BIRMINGHAM
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35233-1601
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 205-930-3600
-----------------------------------------------------
Fax | 205-930-3497
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7312 WINDING RIDGE RD
-----------------------------------------------------
City | COLUMBUS
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 31904-1940
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 706-321-9306
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208000000X
-----------------------------------------------------
Taxonomy Name | Pediatrics Physician
-----------------------------------------------------
License Number | 20997
-----------------------------------------------------
License Number State | AL
-----------------------------------------------------