Organization
PEDICURE, LLC
Active
Organization
PEDICURE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT THOMPSON (SOLE MEMBER/OWNER)
(205) 276-3030
Entity
Organization
Contact information
Practice address
250 TRACE RIDGE RD, BIRMINGHAM, AL 35244-3924
(205) 276-3030
(205) 982-7931
Mailing address
250 TRACE RIDGE RD, BIRMINGHAM, AL 35244-3924
(205) 276-3030
(205) 982-7931
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51518919
BLUE CROSS
AL
Enumeration date
06/26/2006
Last updated
08/17/2007
Update your record
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