Organization
TRACY D. ADAMS ET AL PTR
Active
Parent organization
TRINITY ORTHOTICS & PEDORTHICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRINITY ORTHOTICS & PEDORTHICS
Authorized official
TRACY DELANE ADAMS CO (OWNER/PRACTIONER)
(256) 275-3535
Entity
Organization
Contact information
Practice address
1905 FLORENCE BLVD, SUITE F, FLORENCE, AL 35630-2729
(256) 275-3535
Mailing address
1905 FLORENCE BLVD, SUITE F, FLORENCE, AL 35630-2729
(256) 275-3535
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
72
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511-5872
BLUE CROSS BLUE SHEILD OF ALABAMA
AL
Enumeration date
12/29/2009
Last updated
11/18/2011
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