Individual
DR. HENRY FORREST FLEMMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
273 WINTON M BLOUNT LOOP, MONTGOMERY, AL 36117-3507
(334) 280-1500
(334) 280-1600
Mailing address
PO BOX 241587, MONTGOMERY, AL 36124-1587
(334) 280-1500
(334) 280-1600
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
08730
MS
207RC0000X
Cardiovascular Disease Physician
11998
AL
207RI0011X
Interventional Cardiology Physician
Primary
11998
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051007003
BLUE SHIELD PROVIDER #
AL
01
—
051007008
BLUE SHIELD PROVIDER #
AL
01
—
051014658
BLUE SHIELD PROVIDER #
AL
01
—
11998
MEDICAL LICENSE
AL
05
—
14658
—
AL
Enumeration date
07/10/2006
Last updated
03/07/2023
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