NORTHEAST ALABAMA VASCULAR AND VEIN SPECIALIST NPI 1164083218

NPI Information

  • NPI: 1164083218
  • Provider Name: NORTHEAST ALABAMA VASCULAR AND VEIN SPECIALIST
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Organization
  • Address: 11491 US HIGHWAY 431
    ALBERTVILLE, AL
    ZIP 35950
  • Phone: (256) 894-6800

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NPI Details

NORTHEAST ALABAMA VASCULAR AND VEIN SPECIALIST is a vascular surgery surgery in Albertville, AL. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. NORTHEAST ALABAMA VASCULAR AND VEIN SPECIALIST NPI is 1164083218. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11491 US HIGHWAY 431
ALBERTVILLE, AL
ZIP 35950-136
Phone: (256) 894-6800
Fax: (256) 894-6808

The provider's authorized official is Taylor Walker .
The authorized official title is Cfo and has the following contact phone number (256) 894-6600.

The enumeration date for this NPI number is 6/27/2019 and was last updated on 6/27/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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