Organization
ADVANCED FOOT HEALTH CENTERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HOLLY ROSEN (PRESIDENT)
(205) 330-9898
Entity
Organization
Contact information
Practice address
2315 LURLEEN B WALLACE BLVD, NORTHPORT, AL 35476-3947
(205) 330-9898
(205) 330-9920
Mailing address
PO BOX 661495, BIRMINGHAM, AL 35266-1495
(205) 979-5882
(205) 979-1248
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F875
BCBSAL PAYEE CODE
AL
Enumeration date
04/24/2006
Last updated
07/10/2007
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