Provider Demographics
NPI:1497946800
Name:INTERNAL MEDICINE OF SHELBY, P.C.
Entity Type:Organization
Organization Name:INTERNAL MEDICINE OF SHELBY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:T
Authorized Official - Last Name:PATTON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:205-995-3454
Mailing Address - Street 1:151 NARROWS PKWY
Mailing Address - Street 2:SUITE F
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-8637
Mailing Address - Country:US
Mailing Address - Phone:205-995-3454
Mailing Address - Fax:205-995-3431
Practice Address - Street 1:151 NARROWS PKWY
Practice Address - Street 2:SUITE F
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-8637
Practice Address - Country:US
Practice Address - Phone:205-995-3454
Practice Address - Fax:205-995-3431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-09
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO751207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty