Organization
VACCINATION SERVICES OF ALABAMA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY A WOOD CRNA (OWNER)
(334) 319-3279
Entity
Organization
Contact information
Practice address
804 HILLFLO AVE, OPELIKA, AL 36801-2206
(334) 319-3279
Mailing address
804 HILLFLO AVE, OPELIKA, AL 36801-2206
(334) 319-3279
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1086070
AL
Other
Enumeration date
01/08/2010
Last updated
01/08/2010
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