| Organization Name: | CENTRAL ALABMA PODIATRY, INC. |
| NPI Number: | 1003102385 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTOPHER J DEPORTER (PRESIDENT) |
| Mailing Address: | 1800 Mcfarland Blvd N Suite 220 Tuscaloosa |
| State: | AL US |
| Postal Code: | 354062114 |
| Phone Number: | 2057592851 |
| Fax Number: | 2057592853 |
| NPI Enumeration Date: | 06/24/2011 |
| NPI Last Update Date: | 06/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | 143 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |