# DRUID CITY PHYSICIAN SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DCH Maternal Fetal Medicine Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356911564
- **Authorized official:** MR. DANIEL CLAY CONVILLE (CORP DIRECTOR, PHYSICIAN SERVICES)
- **Authorized official phone:** (205) 759-6165

## Contact information

- **Practice address:** 701 UNIVERSITY BLVD E STE 807, TUSCALOOSA, AL 35401-7479
- **Practice address phone:** (205) 759-6873
- **Mailing address:** 3901 GREENSBORO AVE STE A, TUSCALOOSA, AL 35405-3771
- **Mailing address phone:** (205) 333-4661

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/29/2021
- **Last updated:** 06/29/2021