Provider Demographics
NPI:1972183937
Name:PARADISE, ANDREW PAYTON (DO)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:PAYTON
Last Name:PARADISE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 PRINCETON AVENUE SW
Mailing Address - Street 2:PROFESSIONAL OFFICE BUILDING 3, SUITE 200-E
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35211
Mailing Address - Country:US
Mailing Address - Phone:205-971-5745
Mailing Address - Fax:
Practice Address - Street 1:833 PRINCETON AVENUE SW
Practice Address - Street 2:PROFESSIONAL OFFICE BUILDING 3, SUITE 200-E
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35211
Practice Address - Country:US
Practice Address - Phone:205-971-5745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-13
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program