Organization · NPI-2

Cahaba Podiatry, INC.

· Birmingham, AL

NPI number1902836885
StatusActive
Last updated in NPPESSep 20, 2010

Details

NPI
1902836885
Entity type
Organization (NPI-2)
Legal business name
Cahaba Podiatry, INC.
Organization subpart
No
Enumeration date
Jul 4, 2006
Last updated
Sep 20, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0131X 161ALYes

Other names

  • Pell City Podiatry (Doing Business As)

Practice location

5511 Highway 280
Suite 124
Birmingham, AL 35242-6585

Phone 205-980-2005 · Fax 205-980-6889

Mailing address

Po Box 273
Chelsea, AL 35043-0273

Phone 205-980-2005 · Fax 205-980-6889

Authorized official

Lora D. Yeager-Smith
President
2059802005

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