Organization
CENTRAL ALABAMA THORACIC & CARDIOVASCULAR SURGERY, P. A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL LOUIS CAMMACK M. D. (PRESIDENT)
(334) 286-9500
Entity
Organization
Contact information
Practice address
2055 E SOUTH BLVD, SUITE 301, MONTGOMERY, AL 36116-2001
(334) 286-9500
(334) 286-9380
Mailing address
2055 E SOUTH BLVD, SUITE 301, MONTGOMERY, AL 36116-2001
(334) 286-9500
(334) 286-9380
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
9494
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CI0175
RRMC-PIN
GA
Enumeration date
12/19/2006
Last updated
11/15/2007
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