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Organization
TOWN OF BRANTLEY
Active
Organization
TOWN OF BRANTLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA DAVIS (CAPTAIN)
(334) 429-3045
Entity
Organization
Contact information
Practice address
9413 W EMMETT ST, BRANTLEY, AL 36009-0383
(334) 527-3337
Mailing address
PO BOX 383, BRANTLEY, AL 36009-0383
(334) 527-3337
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
137
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051050150
BLUE CROSS & BLUE SHIELD
AL
05
—
200021105
—
AL
Enumeration date
09/21/2005
Last updated
09/26/2025
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