Provider Demographics
NPI:1326020280
Name:DRUMMOND, PAULA S (MD)
Entity Type:Individual
Prefix:DR
First Name:PAULA
Middle Name:S
Last Name:DRUMMOND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:150 S INGLESIDE ST
Mailing Address - Street 2:STE 7
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-1803
Mailing Address - Country:US
Mailing Address - Phone:251-928-0624
Mailing Address - Fax:251-928-0655
Practice Address - Street 1:150 S INGLESIDE ST
Practice Address - Street 2:STE 7
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-1803
Practice Address - Country:US
Practice Address - Phone:251-928-0624
Practice Address - Fax:251-928-0655
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL16718208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALF66933Medicare UPIN