Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 191 | AL |
NPI | 1235102708 |
---|---|
Provider Name | Eric B Fillinger |
First Address | Cullman, AL 35055-6011 |
Second Address | Cullman, AL 35055-6011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2006 |
Last Update Date | 02/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
114927 | (05) | AL |
U70379 | (02) | AL |