Individual provider · NPI-1

Vance G Blackburn, M.D.

Family Medicine · Hoover, AL

NPI number1720068463
StatusActive
Last updated in NPPESOct 31, 2025

Details

NPI
1720068463
Entity type
Individual (NPI-1)
Name
Vance G Blackburn
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jan 19, 2006
Certification date
Oct 31, 2025
Last updated
Oct 31, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine00013452ALYes

Practice location

2520 Valleydale Rd
Hoover, AL 35244-2019

Phone 205-980-9944 · Fax 205-980-9844

Mailing address

2520 Valleydale Rd
Hoover, AL 35244-2019

Phone 205-980-9944 · Fax 205-980-9844

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