Organization
HANDES OF A WOMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA YVONNE PATTERSON (ACCOUNT MANAGER)
(937) 298-5333
Entity
Organization
Contact information
Practice address
58 ROY BEALL DR, LUVERNE, AL 36049-6800
(334) 335-2095
(334) 335-2279
Mailing address
PO BOX 176, GREENVILLE, AL 36037-0176
(334) 335-2095
(334) 335-2279
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51002757
BC BS OF ALABAMA
AK
Enumeration date
05/17/2006
Last updated
08/22/2020
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