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NPI Code Detail

MEDICARE: CARDIOVASCULAR ASSOCIATES OF NORTH ALABAMA, P.C.

MEDICARE: CARDIOVASCULAR ASSOCIATES OF NORTH ALABAMA, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician

General Provider Information

NPI Number : 1023084993
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARDIOVASCULAR ASSOCIATES OF NORTH ALABAMA, P.C.
Provider Business Mailing Address
First Line : 1280 COLUMBIANA RD
Second Line : SUITE 100
City : BIRMINGHAM
State : AL
Zip : 35216-1642
Country : US
Telephone Number : 205-599-3524
Fax Number : 205-599-3569
Provider Business Practice Location Address
First Line : 2022 BROOKWOOD MEDICAL CTR DR
Second Line : SUITE 510
City : BIRMINGHAM
State : AL
Zip : 35209-6808
Country : US
Telephone Number : 205-877-9290
Fax Number :
Authorized Official
Title or Position : MEDICAL STAFF AFFAIRS COORDINATOR
Name : MS. PATRICIA HAWK
Credential :
Telephone Number : 205-599-3524
Provider Enumeration Date : 02/28/2006
Last Update Date : 08/22/2020

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