Provider Demographics
NPI:1659608974
Name:PRIMARY PROVIDERS OF ALABAMA INC
Entity Type:Organization
Organization Name:PRIMARY PROVIDERS OF ALABAMA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KATARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-520-3341
Mailing Address - Street 1:1878 JEFF RD NW
Mailing Address - Street 2:SUITE G
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806-4260
Mailing Address - Country:US
Mailing Address - Phone:256-428-0444
Mailing Address - Fax:
Practice Address - Street 1:1878 JEFF RD NW
Practice Address - Street 2:SUITE G
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-4260
Practice Address - Country:US
Practice Address - Phone:256-428-0444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-06
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALL2805207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty