MEDICARE: PATHWAY HEALTHCARE ALABAMA LLC

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
1	207QA0401X	Addiction Medicine (Family Medicine) Physician

General Provider Information

NPI Number	:	1053855122
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATHWAY HEALTHCARE ALABAMA LLC

Provider Business Mailing Address
First Line	:	48 MEDICAL PARK DR E STE 453
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35235-3472
Country	:	US
Telephone Number	:	205-208-9312
Fax Number	:	205-848-2227

Provider Business Practice Location Address
First Line	:	48 MEDICAL PARK DR E STE 453
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35235-3472
Country	:	US
Telephone Number	:	205-517-7730
Fax Number	:	205-838-5863

Authorized Official
Title or Position	:	CEO
Name	:	PATRICK COMBS
Credential	:
Telephone Number	:	205-208-9312

Provider Enumeration Date	:	12/08/2016
Last Update Date	:	05/14/2026

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