Organization · Type 2 NPI

East Alabama Heart and Vascular, LLC

Specialist · Opelika, AL

NPI number 1104193069 Active

Practice location

2601 Village Professional Drive
Opelika, AL 36801-4784

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	None listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Another provider at this address

East Alabama Heart and Vascular, LLCThoracic Surgery (Cardiothoracic Vascular Surgery) Physician Opelika, AL NPI 1073120119

Other specialist providers in Opelika

See all in Opelika →

NPI record

NPI: 1104193069
Entity type: Organization (Type 2)
Issued: Nov 21, 2011
Last updated: Oct 19, 2020
Status: Active
Subpart: Yes of The East Alabama Healthcare Authority

Other names

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Pinnacle Cardiovascular Associates · doing business as

Authorized official

Samuel A Price
CFO
(334) 528-1310

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104193069

East Alabama Heart and Vascular, LLC's National Provider Identifier is 1104193069, issued on Nov 21, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Opelika, AL. The record was last updated on Oct 19, 2020.