Provider Demographics
NPI:1306995683
Name:DULANEY, DAVID P (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:P
Last Name:DULANEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 HWY 231 SOUTH
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:AL
Mailing Address - Zip Code:36081
Mailing Address - Country:US
Mailing Address - Phone:334-670-5474
Mailing Address - Fax:334-670-5446
Practice Address - Street 1:1340 HIGHWAY 231 S
Practice Address - Street 2:SUITE 4
Practice Address - City:TROY
Practice Address - State:AL
Practice Address - Zip Code:36081-3011
Practice Address - Country:US
Practice Address - Phone:334-670-5569
Practice Address - Fax:334-670-5285
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00023709207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009955855Medicaid
AL119840Medicaid
ALH34541OtherVIVA
ALH34541OtherVIVA
AL119840Medicaid
AL119840Medicaid