Provider Demographics
NPI:1174773576
Name:DAVID M. MCCALMAN II, M.D., P.C.
Entity type:Organization
Organization Name:DAVID M. MCCALMAN II, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCCALMAN
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:334-222-2418
Mailing Address - Street 1:PO BOX 1739
Mailing Address - Street 2:
Mailing Address - City:ANDALUSIA
Mailing Address - State:AL
Mailing Address - Zip Code:36420-1229
Mailing Address - Country:US
Mailing Address - Phone:334-222-2418
Mailing Address - Fax:334-222-0943
Practice Address - Street 1:135 MEDICAL PARK DR STE 1A
Practice Address - Street 2:
Practice Address - City:ANDALUSIA
Practice Address - State:AL
Practice Address - Zip Code:36420-5323
Practice Address - Country:US
Practice Address - Phone:334-222-2418
Practice Address - Fax:334-222-0943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-23
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL16950207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510G700405Medicare PIN