=====================================================
General NPI Number Information
=====================================================
NPI Number | 1912967696
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DONALD GLENN AULDS M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/25/2006
-----------------------------------------------------
Last Update Date | 06/14/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 401 LOWELL DR SE SUITE 9
-----------------------------------------------------
City | HUNTSVILLE
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35801-3748
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 256-533-1244
-----------------------------------------------------
Fax | 256-536-2650
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 401 LOWELL DR SE SUITE 9
-----------------------------------------------------
City | HUNTSVILLE
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35801-3748
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 256-533-1244
-----------------------------------------------------
Fax | 256-536-2650
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | 9221
-----------------------------------------------------
License Number State | AL
-----------------------------------------------------