Organization
NORTH ALABAMA OBSTETRICS AND GYNECOLOGY
Active
Other names
Madison Obstetrics and Gynecology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND A LOPEZ M.D. (OWNER)
(256) 461-4104
Entity
Organization
Contact information
Practice address
3809 SULLIVAN ST, SUITE 6-A, MADISON, AL 35758-2372
(256) 461-4104
(256) 461-4840
Mailing address
3809 SULLIVAN ST, SUITE 6-A, MADISON, AL 35758-2372
(256) 461-4104
(256) 461-4840
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
18239
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51097396
BLUE CROSS&BLUE SHIELD
AL
Enumeration date
10/05/2006
Last updated
08/22/2020
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