# BRENDA L CASSELBERRY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BRENDA L CASSELBERRY
- **Other names:** Auburn Opelika Ambulatory-Surg Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1568649754
- **Legal business name:** BRENDA L CASSELBERRY
- **Authorized official:** DR. BRENDA L CASSELBERRY DPM (PHYSICIAN / PRESIDENT)
- **Authorized official phone:** (334) 705-0544

## Contact information

- **Practice address:** 2121 EXECUTIVE PARK DR, OPELIKA, AL 36801-6041
- **Practice address phone:** (334) 705-0544
- **Practice address fax:** (334) 705-0531
- **Mailing address:** PO BOX 1268, AUBURN, AL 36831-1268
- **Mailing address phone:** (334) 705-0544
- **Mailing address fax:** (334) 705-0548

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 132 | AL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 132 | AL | — |

## Other

- **Enumeration date:** 01/30/2008
- **Last updated:** 01/07/2009