MEDICARE: ANGELA CATO BLOUNT M.D.

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	207Y00000X	Otolaryngology Physician	29217	AL

General Provider Information

NPI Number	:	1811190804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA CATO BLOUNT M.D.

Provider Business Mailing Address
First Line	:	833 SAINT VINCENTS DR
Second Line	:	SUITE 402
City	:	BIRMINGHAM
State	:	AL
Zip	:	35205-1606
Country	:	US
Telephone Number	:	205-933-9236
Fax Number	:	205-933-9213

Provider Business Practice Location Address
First Line	:	3400 HIGHWAY 78 E
Second Line	:	SUITE 205
City	:	JASPER
State	:	AL
Zip	:	35501-8950
Country	:	US
Telephone Number	:	205-221-4630
Fax Number	:	205-221-4731

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2007
Last Update Date	:	02/11/2015

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