Organization
MICHAEL A COURTNEY, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEE GREER (CFO)
(334) 283-3734
Entity
Organization
Contact information
Practice address
80 HERREN HILL RD STE F, TALLASSEE, AL 36078-1264
(337) 283-3734
Mailing address
80 HERREN HILL RD STE F, TALLASSEE, AL 36078-1264
(337) 283-3734
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
13184
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J249
MEDICARE GP PAYOR ID
—
Enumeration date
02/28/2007
Last updated
12/05/2007
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