Individual
ELMO DODD OZMENT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
950 W COY SMITH HWY, MOUNT VERNON, AL 36560-3201
(251) 829-9884
(251) 829-9507
Mailing address
PO BOX 2867, MOBILE, AL 36652-2867
(251) 690-8894
(251) 544-2188
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3604
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011846
MEDICARE GROUP PAYEE NUMBER
AL
01
—
020032330
RAILROAD MEDICARE
AL
01
—
1063439065
NPI GROUP PAYEE NUMBER
AL
01
—
1710060
UNITED HEALTHCARE
AL
05
—
630000013
—
AL
Enumeration date
05/03/2006
Last updated
10/16/2012
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