Provider Demographics
NPI:1962570614
Name:PERCY, ALAN K (MD)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:K
Last Name:PERCY
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:1530 3RD AVE S
Mailing Address - Street 2:CH19 - 307
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35294-0002
Mailing Address - Country:US
Mailing Address - Phone:205-934-5471
Mailing Address - Fax:205-975-2380
Practice Address - Street 1:930 20TH ST S
Practice Address - Street 2:SUITE 101
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-2610
Practice Address - Country:US
Practice Address - Phone:205-934-5471
Practice Address - Fax:205-975-2380
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-10-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL16825208000000X, 2084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics