# CENTRAL ALABAMA THORACIC & CARDIOVASCULAR SURGERY, P. A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356404362
- **Authorized official:** DR. PAUL LOUIS CAMMACK M. D. (PRESIDENT)
- **Authorized official phone:** (334) 286-9500

## Contact information

- **Practice address:** 2055 E SOUTH BLVD, SUITE 301, MONTGOMERY, AL 36116-2001
- **Practice address phone:** (334) 286-9500
- **Practice address fax:** (334) 286-9380
- **Mailing address:** 2055 E SOUTH BLVD, SUITE 301, MONTGOMERY, AL 36116-2001
- **Mailing address phone:** (334) 286-9500
- **Mailing address fax:** (334) 286-9380

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 9494 | AL | Yes |

## Other

- **Enumeration date:** 12/19/2006
- **Last updated:** 11/15/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CI0175 | RRMC-PIN | GA |