Provider Demographics
NPI:1558398412
Name:WALBURN, JAMES HODO (MD)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:HODO
Last Name:WALBURN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1300 MCFARLAND BLVD NE
Mailing Address - Street 2:STE 150
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-2283
Mailing Address - Country:US
Mailing Address - Phone:205-758-9041
Mailing Address - Fax:205-345-8328
Practice Address - Street 1:1300 MCFARLAND BLVD NE
Practice Address - Street 2:STE 150
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35406-2283
Practice Address - Country:US
Practice Address - Phone:205-758-9041
Practice Address - Fax:205-345-8328
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL00003830207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C17130Medicare UPIN