Organization
B.L. CARDEN, MD,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY LAMAR CARDEN MD (OWNER)
(334) 664-0210
Entity
Organization
Contact information
Practice address
1810 STADIUM DR, SUITE 220, PHENIX CITY, AL 36867-3100
(334) 664-0210
Mailing address
1810 STADIUM DR, PHENIX CITY, AL 36867-3177
(334) 448-1899
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529917770
—
AL
01
—
DA7204
RAILROAD MEDICARE
AL
01
—
P00069193
RAILROAD PIN
AL
Enumeration date
08/03/2006
Last updated
02/18/2010
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