Prime, Darryl Dwayne
Prime, Darryl Dwayne is an individual health care provider with primary practice located at 619 19Th St S , Birmingham AL 35249-2008. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Prime, Darryl Dwayne can be contacted via phone (205) 934-4011.Contact Information
Primary practice address
619 19Th St S
Birmingham AL 35249-2008
Phone: (205) 934-4011
Fax: (205) 297-9411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2006-00624 | North Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 00025739 | Alabama |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 25739 | Alabama |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 25739 | Alabama |
Profile Details
| NPI number | 1982668828 |
|---|---|
| LBN Legal business name | Prime, Darryl Dwayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2006 |
| Last updated | Apr 4th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982668828 | NPPES |
| North Carolina | Other | 14408 | BLUECROSSBLUESHIELD |
| North Carolina | MEDICAID | 009997315 | BLUECROSSBLUESHIELD |
| North Carolina | MEDICAID | 5905885 | BLUECROSSBLUESHIELD |
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