Organization
TOWN OF BLOUNTSVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB DEWAYNE MIKELL (DEPUTY CHIEF)
(205) 572-5497
Entity
Organization
Contact information
Practice address
68053 MAIN ST, BLOUNTSVILLE, AL 35031-3361
(205) 572-5497
Mailing address
PO BOX 361706, BIRMINGHAM, AL 35236-1706
(205) 823-7076
(205) 978-9876
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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