Organization
AZALEA CITY MEDICAL SERVICES, INC.
Active
Organization
AZALEA CITY MEDICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH KING (OWNER PRESIDENT)
(251) 287-7067
Entity
Organization
Contact information
Practice address
3046 DAUPHIN ISLAND PKWY, MOBILE, AL 36605-3835
(251) 287-7067
(251) 461-6439
Mailing address
3046 DAUPHIN ISLAND PKWY, MOBILE, AL 36605-3835
(251) 287-7067
(251) 461-6439
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
111612
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009910827
—
AL
01
—
51506953
BLUECROSSBLUESHIELD
AL
Enumeration date
08/02/2006
Last updated
11/03/2014
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