Organization
PULMONARY ASSOCIATES OF THE SOUTHEAST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBI WALDRUP CMPE (ADMINISTRATOR)
(205) 802-2000
Entity
Organization
Contact information
Practice address
3686 GRANDVIEW PKWY, SUITE 500, BIRMINGHAM, AL 35243-3407
(205) 802-2000
(205) 802-2012
Mailing address
3686 GRANDVIEW PKWY, SUITE 2500, BIRMINGHAM, AL 35243-3407
(205) 802-2000
(205) 802-2012
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528302380
—
AL
Enumeration date
07/22/2006
Last updated
02/29/2016
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