Organization
MICHAEL L. PUTMAN, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL L PUTMAN M.D. (PRESIDENT OWNER)
(256) 350-0798
Entity
Organization
Contact information
Practice address
1874 BELTLINE RD SW, DECATUR, AL 35601-5514
(256) 350-0798
(256) 350-6466
Mailing address
PO BOX 5749, DECATUR, AL 35601-0749
(256) 350-0798
(256) 350-6466
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000004302
—
AL
01
—
51004302
BCBS OF ALABAMA
AL
Enumeration date
01/30/2007
Last updated
06/12/2012
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