Provider profile · NPI 1205356938
Alabama State University
Orthopaedic Surgery, Sports Medicine · Montgomery, AL · NPI 1205356938 · No federal exclusion match
✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 22, 2026. Source-linked, daily-refreshed. Public data only — no PHI.
Registry details
Type
Organization
Primary specialty
Orthopaedic Surgery, Sports Medicine
Enumerated
Jun 23, 2017
License(s)
32588 (AL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 5050 SPRING VALLEY RD | Dallas, TX 75244-3995 | |
| LOCATION | 915 S JACKSON ST | Montgomery, AL 36104-5716 | 972-367-4845 |
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