Organization Name: | MEDICAL ASSOCIATES OF EAST AL |
NPI Number: | 1376658476 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | IVAN LEWIS SLAVICH (PRESIDENT) |
Mailing Address: | 209 Fob James Dr Valley |
State: | AL US |
Postal Code: | 368545079 |
Phone Number: | 3347566936 |
Fax Number: | 3347566937 |
NPI Enumeration Date: | 08/20/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | DO222 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |