Provider Demographics
NPI:1104079797
Name:PSYCHIATRIC CORPORATION OF ALABAMA
Entity type:Organization
Organization Name:PSYCHIATRIC CORPORATION OF ALABAMA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:BRUCE
Authorized Official - Last Name:ATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-345-3435
Mailing Address - Street 1:1649 MCFARLAND BLVD N
Mailing Address - Street 2:SUITE 201
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-2281
Mailing Address - Country:US
Mailing Address - Phone:205-345-3435
Mailing Address - Fax:205-345-3498
Practice Address - Street 1:1649 MCFARLAND BLVD N
Practice Address - Street 2:SUITE 201
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35406-2281
Practice Address - Country:US
Practice Address - Phone:205-345-3435
Practice Address - Fax:205-345-3498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL145842084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty