Individual
DR. LELAND N. ALLEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
833 SAINT VINCENTS DR STE 300, BIRMINGHAM, AL 35205-1612
(205) 933-4640
Mailing address
833 SAINT VINCENTS DR STE 300, BIRMINGHAM, AL 35205-1612
(205) 933-4640
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
18247
AL
207RI0200X
Infectious Disease Physician
Primary
18247
AL
208M00000X
Hospitalist Physician
18247
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00999876
—
AL
01
—
51004116
BLUE CROSS BLUE SHIELD
AL
Enumeration date
07/17/2006
Last updated
03/31/2021
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