Provider Demographics
NPI:1881014397
Name:PERFUSION ASSOCIATES OF ALABAMA, INC.
Entity Type:Organization
Organization Name:PERFUSION ASSOCIATES OF ALABAMA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:HARRISON
Authorized Official - Last Name:BRANNON
Authorized Official - Suffix:
Authorized Official - Credentials:CCP
Authorized Official - Phone:205-877-1773
Mailing Address - Street 1:16 OFFICE PARK CIR STE 4
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35223-2523
Mailing Address - Country:US
Mailing Address - Phone:205-877-1773
Mailing Address - Fax:205-871-0534
Practice Address - Street 1:16 OFFICE PARK CIR STE 4
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35223-2523
Practice Address - Country:US
Practice Address - Phone:205-877-1773
Practice Address - Fax:205-871-0534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-23
Last Update Date:2014-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty