Provider Demographics
NPI:1144319914
Name:ENDOCRINOLOGY AND INTERNAL MEDICINE ASSOCIATES, PC
Entity type:Organization
Organization Name:ENDOCRINOLOGY AND INTERNAL MEDICINE ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:D
Authorized Official - Last Name:DEATKINE
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:205-313-2650
Mailing Address - Street 1:2728 10TH AVE S STE 310
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1202
Mailing Address - Country:US
Mailing Address - Phone:205-313-2650
Mailing Address - Fax:
Practice Address - Street 1:2728 10TH AVE S STE 310
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1202
Practice Address - Country:US
Practice Address - Phone:205-313-2650
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00013421207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty