Provider Demographics
NPI:1699784322
Name:LEVENE, JOINER, & MAYS P.C.
Entity type:Organization
Organization Name:LEVENE, JOINER, & MAYS P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE CLERK
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:J
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-824-2100
Mailing Address - Street 1:1009 MONTGOMERY HWY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-2831
Mailing Address - Country:US
Mailing Address - Phone:205-824-2100
Mailing Address - Fax:205-824-2227
Practice Address - Street 1:1009 MONTGOMERY HWY
Practice Address - Street 2:SUITE 201
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216-2831
Practice Address - Country:US
Practice Address - Phone:205-824-2100
Practice Address - Fax:205-824-2227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529913330Medicaid
AL529913330Medicaid