1235111451 NPI number — CECIL MORGAN EILAND M.D.

Table of content: CECIL MORGAN EILAND M.D. (NPI 1235111451)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235111451 NPI number — CECIL MORGAN EILAND M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
EILAND
Provider First Name:
CECIL
Provider Middle Name:
MORGAN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235111451
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7500 HUGH DANIEL DR
Provider Second Line Business Mailing Address:
ATTN: JENNIFER BYRD
Provider Business Mailing Address City Name:
BIRMINGHAM
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35242-7142
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-995-9899
Provider Business Mailing Address Fax Number:
205-995-1255

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7500 HUGH DANIEL DR
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35242-7148
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-995-4900
Provider Business Practice Location Address Fax Number:
205-995-0203
Provider Enumeration Date:
11/15/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2085R0202X , with the licence number:  6304 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 470000833 . This is a "TRAVELERS RR M/C MONTCLAI" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 009934021 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 51000185 . This is a "BC SYLACAUGA" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 51513967 . This is a "BC 280" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 470001761 . This is a "TRAVELERS RR M/C 280" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 51513790 . This is a "BC MONTCLAIR" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: P00206200 . This is a "TRAVELERS RR MC SYLACAUGA" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 009912665 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 009912685 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 51513877 . This is a "BC SHELBY" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 470000666 . This is a "TRAVELERS RR M/C GREYSTON" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 470001757 . This is a "TRAVELERS RR M/C SHELBY" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 51513472 . This is a "BC GREYSTONE" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 009912655 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 009912675 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".




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