Provider Demographics
NPI:1649667866
Name:ERWOOD, ANDREW MARK
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:MARK
Last Name:ERWOOD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 SAINT VINCENTS DR STE 700
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1630
Mailing Address - Country:US
Mailing Address - Phone:205-933-8981
Mailing Address - Fax:205-930-0746
Practice Address - Street 1:513 BROOKWOOD BLVD STE 260
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-7844
Practice Address - Country:US
Practice Address - Phone:205-933-8981
Practice Address - Fax:205-930-0746
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-26
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL46824207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty