Individual
DR. MICHAEL LEE PUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
7947
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000004302
—
AL
01
—
4385266
AETNA
AL
01
—
51004302
BCBS OF ALABAMA
AL
01
—
630799536
CHAMPUS/TRICARE
AL
Enumeration date
08/31/2006
Last updated
06/12/2012
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