Provider Demographics
NPI:1811190804
Name:BLOUNT, ANGELA CATO (MD)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:CATO
Last Name:BLOUNT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:833 SAINT VINCENTS DR
Mailing Address - Street 2:SUITE 402
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1606
Mailing Address - Country:US
Mailing Address - Phone:205-933-9236
Mailing Address - Fax:205-933-9213
Practice Address - Street 1:3400 HIGHWAY 78 E
Practice Address - Street 2:SUITE 205
Practice Address - City:JASPER
Practice Address - State:AL
Practice Address - Zip Code:35501-8950
Practice Address - Country:US
Practice Address - Phone:205-221-4630
Practice Address - Fax:205-221-4731
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2015-02-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL29217207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology