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Individual

LELAND W EATON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2000 6TH AVE S, BIRMINGHAM, AL 35233-2110
(205) 801-8000
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
13274
AL
207RC0000X
Cardiovascular Disease Physician
MD25035
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000344638G
GA
05
009912155
AL
05
009913435
AL
05
009937024
AL
01
051102151
BLUE CROSS
AL
01
051513542
BLUE CROSS
AL
01
051514389
BLUE CROSS
AL
01
051514391
BLUE CROSS
AL
05
051534254
AL
05
051552984
AL
01
051598080
BLUE CROSS
AL
01
051598085
BLUE CROSS
AL
05
08473001
MS
05
115616
AL
01
160070286
RAILROAD MEDICARE
AL
Enumeration date
05/11/2006
Last updated
10/25/2021
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