Basic Information
Provider Information
NPI: 1881665032
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STRICKLAND
FirstName: WARREN
MiddleName: LEE
NamePrefix: DR.
NameSuffix: III
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherLastNameType:  
Mailing Information
Address1: 4601 WHITESBURG DR SE
Address2: SUITE 201
City: HUNTSVILLE
State: AL
PostalCode: 358021676
CountryCode: US
TelephoneNumber: 2568801050
FaxNumber: 2568807477
Practice Location
Address1: 4601 WHITESBURG DR SE
Address2: SUITE 201
City: HUNTSVILLE
State: AL
PostalCode: 358021676
CountryCode: US
TelephoneNumber: 2568801050
FaxNumber: 2568807477
Other Information
ProviderEnumerationDate: 01/27/2006
LastUpdateDate: 09/10/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0011X19435ALN Allopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
207RC0000X19435ALY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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