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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1316449085
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATHWAY HEALTHCARE ALABAMA LLC

Provider Business Mailing Address
First Line	:	1000 URBAN CENTER DR STE 600
Second Line	:
City	:	VESTAVIA
State	:	AL
Zip	:	35242-2584
Country	:	US
Telephone Number	:	205-208-9312
Fax Number	:

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	:	205-208-9312
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANDREW TURNER
Credential	:
Telephone Number	:	205-208-9312

Provider Enumeration Date	:	03/08/2018
Last Update Date	:	05/12/2023

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