MEDICARE: E. TODD FALLS, DPM, 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	213ES0103X	Foot & Ankle Surgery Podiatrist	184	AL

General Provider Information

NPI Number	:	1568529923
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	E. TODD FALLS, DPM, LLC

Provider Business Mailing Address
First Line	:	2000 STONEGATE TRL STE 112
Second Line	:
City	:	VESTAVIA HLS
State	:	AL
Zip	:	35242-2237
Country	:	US
Telephone Number	:	205-599-5811
Fax Number	:	205-599-5556

Provider Business Practice Location Address
First Line	:	2000 STONEGATE TRL STE 112
Second Line	:
City	:	VESTAVIA HLS
State	:	AL
Zip	:	35242-2237
Country	:	US
Telephone Number	:	205-599-5811
Fax Number	:	205-599-5556

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	DR. ERIC TODD FALLS
Credential	:	DPM
Telephone Number	:	205-599-5811

Provider Enumeration Date	:	01/03/2007
Last Update Date	:	03/27/2018

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