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
Fax: (205) 313-5298
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902800618 NPPES
Alabama Other 51504279 CHG BCBSAL
Alabama Other 51525598 CHG BCBSAL

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