Provider Demographics
NPI:1003236019
Name:ABNEY, ERICA MCDANIEL (PA-C)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:MCDANIEL
Last Name:ABNEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 PAUL W BRYANT DR E
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35401-2055
Mailing Address - Country:US
Mailing Address - Phone:205-345-0192
Mailing Address - Fax:205-759-8794
Practice Address - Street 1:305 PAUL W BRYANT DR E
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401-2055
Practice Address - Country:US
Practice Address - Phone:205-345-0192
Practice Address - Fax:205-759-8794
Is Sole Proprietor?:No
Enumeration Date:2014-04-17
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363A00000X
AL2239363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant