Southall, Paul A
Southall, Paul A is an individual health care provider with primary practice located at 205 Marengo St , Florence AL 35630-6033. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Southall, Paul A can be contacted via phone (866) 313-5265.Contact Information
Primary practice address
205 Marengo St
Florence AL 35630-6033
Phone: (866) 313-5265
Fax: (205) 313-5298
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 14708 | Alabama |
Profile Details
NPI number | 1902800618 |
---|---|
LBN Legal business name | Southall, Paul A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 9th, 2005 |
Last updated | Oct 11th, 2007 - about 17 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 | 1902800618 | NPPES |
Alabama | Other | 51504279 | CHG BCBSAL |
Alabama | Other | 51525598 | CHG BCBSAL |
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