Individual
MICHAEL A COURTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
80 HERREN HILL RD STE F, TALLASSEE, AL 36078-1264
(334) 283-3896
(334) 283-3837
Mailing address
80 HERREN HILL RD STE F, TALLASSEE, AL 36078-1264
(334) 283-3896
(334) 283-3837
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
13184
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051553052
—
AL
01
—
51513099COU
BCBS PROVIDER NUMBER
AL
01
—
J249
MEDICARE GP PAYOR ID
—
Enumeration date
01/08/2007
Last updated
12/05/2007
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