Provider Demographics
NPI:1811554660
Name:ALLIED CARDIOVASCULAR SERVICES
Entity Type:Organization
Organization Name:ALLIED CARDIOVASCULAR SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SIGBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPHENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-630-7845
Mailing Address - Street 1:PO BOX 132
Mailing Address - Street 2:
Mailing Address - City:CENTRE
Mailing Address - State:AL
Mailing Address - Zip Code:35960-0132
Mailing Address - Country:US
Mailing Address - Phone:256-630-7845
Mailing Address - Fax:256-399-4009
Practice Address - Street 1:1260 CHESNUT BYPASS
Practice Address - Street 2:SUITE B
Practice Address - City:CENTRE
Practice Address - State:AL
Practice Address - Zip Code:35960
Practice Address - Country:US
Practice Address - Phone:256-399-4009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-28
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty