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Individual

EDWARD EATON PALMER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4294 LOMAC ST, MONTGOMERY, AL 36106-3604
(334) 274-9000
(334) 274-0857
Mailing address
PO BOX 235003, MONTGOMERY, AL 36123-5003
(334) 274-9000
(334) 274-0857

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
5971
AL
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
5971
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000055278
AL
05
000080878
AL
01
0910185
UNITED HEALTHCARE
01
200027780
RR MEDICARE
01
51032887
BLUE CROSS
01
51055278
BLUE CROSS
01
550179
PRIME HEALTH
01
5910114
AETNA
01
6453
NCC/TYNET
01
717863
FIRST HEALTH
Enumeration date
12/29/2005
Last updated
06/24/2008
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