Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 8388 | AL |
NPI | 1043248339 |
---|---|
Provider Name | Edward V Colvin |
First Address | Birmingham, AL 35255-5823 |
Second Address | Birmingham, AL 35233-1802 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 09/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000012129 | (05) | AL |
00121850 | MISSISSIPPI MEDICAID (01) | AL |
003278752X | GEORGIA MEDICAID (01) | AL |
11368 | HEALTHSPRING (01) | |
2510024 | UHC (01) | AL |
510-12129 | BC BS (01) | AL |
C71653 | (02) | |
C71653 | VIVA (01) |