MEDICARE: SOUTHVIEW MEDICAL GROUP, PC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1801860333
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHVIEW MEDICAL GROUP, PC

Provider Business Mailing Address
First Line	:	833 SAINT VINCENTS DR
Second Line	:	POB III SUITE 300
City	:	BIRMINGHAM
State	:	AL
Zip	:	35205-1606
Country	:	US
Telephone Number	:	205-933-4640
Fax Number	:	205-939-4519

Provider Business Practice Location Address
First Line	:	833 SAINT VINCENTS DR
Second Line	:	POB III SUITE 300
City	:	BIRMINGHAM
State	:	AL
Zip	:	35205-1606
Country	:	US
Telephone Number	:	205-933-4640
Fax Number	:	205-939-4519

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOSEPH E WELDEN JR.
Credential	:	M.D.
Telephone Number	:	205-933-4640

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	08/22/2020

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