Provider Demographics
NPI:1346539905
Name:LEE, JAMES LANGSTON (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:LANGSTON
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 5TH AVE S
Mailing Address - Street 2:CPP1 - SUITE 110
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1700
Mailing Address - Country:US
Mailing Address - Phone:205-638-6040
Mailing Address - Fax:
Practice Address - Street 1:1600 5TH AVE S
Practice Address - Street 2:CPP1 - SUITE 110
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1700
Practice Address - Country:US
Practice Address - Phone:205-638-6040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-05
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.33314207P00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL511-50012OtherBCBS
AL160732Medicaid
AL511-50011OtherBCBS
AL160766Medicaid