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SHOALS INFECTIOUS DISEASE CONSULTANTS LLC NPI 1083192173


NPI Information

NPI: 1083192173
Provider Name: SHOALS INFECTIOUS DISEASE CONSULTANTS LLC

Doing Business As: ST. VINCENT INFECTIOUS DISEASE AND INTERNAL MEDICINE CENTER

Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

Address:
22281 US HIGHWAY 72 STE A
ATHENS, AL
ZIP 35613
Phone: (256) 444-4401
Get Directions

SHOALS INFECTIOUS DISEASE CONSULTANTS LLC is an infectious disease internal medicine in Athens, AL. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. SHOALS INFECTIOUS DISEASE CONSULTANTS LLC NPI is 1083192173. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As St. Vincent Infectious Disease And Internal Medicine Center.

The provider's business location address is:

22281 US HIGHWAY 72 STE A
ATHENS, AL
ZIP 35613-601
Phone: (256) 444-4401
Fax: (256) 444-4403

The provider's authorized official is Jean Hilaire Vincent .
The authorized official title is Owner and has the following contact phone number (256) 444-4401.

The enumeration date for this NPI number is 8/1/2018 and was last updated on 8/23/2021.


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
1163WW0000XRegistered NurseWound Care180531025No
2207R00000XInternal MedicineMD.36985No
3207RI0200XInternal MedicineInfectious DiseaseMD.36985Yes

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
1219543MEDICAIDALABAMA

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: 11/14/2023

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