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J WALDEN RETAN MD PC NPI 1952415994


NPI Information

NPI: 1952415994
Provider Name: J WALDEN RETAN MD PC

Former Legal Business Name: J WALDEN RETAN MD PA

Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
3105 WARRINGTON ROAD
MOUNTAIN BROOK, AL
ZIP 35223
Phone: (205) 967-2900
Get Directions

J WALDEN RETAN MD PC is a geriatric medicine internal medicine in Mountain Brook, AL. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. J WALDEN RETAN MD PC NPI is 1952415994. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is J Walden Retan Md Pa.

The provider's business location address is:

3105 WARRINGTON ROAD
MOUNTAIN BROOK, AL
ZIP 35223-721
Phone: (205) 967-2900
Fax: (205) 967-0069

The provider's authorized official is J Walden Retan .
The authorized official title is President and has the following contact phone number (205) 967-2900.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0300XInternal MedicineGeriatric Medicine3223ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
151005240OTHERALABAMABLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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